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NPI Code Detail

MEDICARE: DR. LISA MARIA PEREZ-GROSSMAN M.D. P.A.

MEDICARE:  DR. LISA MARIA PEREZ-GROSSMAN  M.D.  P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianME71327FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871581447
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LISA MARIA PEREZ-GROSSMAN M.D. P.A.
Provider Business Mailing Address
First Line : 1235 SW 87TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33174-3306
Country : US
Telephone Number : 305-269-1990
Fax Number : 305-269-1970
Provider Business Practice Location Address
First Line : 1235 SW 87TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33174-3306
Country : US
Telephone Number : 305-269-1990
Fax Number : 305-269-1970
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2005
Last Update Date : 10/26/2016

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Directions to “ DR. LISA MARIA PEREZ-GROSSMAN M.D. P.A.” Practice Location

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