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Tyler Grossbaum, MD
Student in an Organized Health Care Education/Training Program in Gainesville, Florida
NPI 1649030826

Tyler Grossbaum is a Student in an Organized Health Care Education/Training Program based in Morganville, FL. Tyler Grossbaum practices in Gainesville, FL and has the professional credentials of MD. The NPI Number for Tyler Grossbaum is 1649030826 and holds a License No. (Florida).

The current practice location address for Tyler Grossbaum is 1600 Sw Archer Rd, Gainesville, FL and can be reached out via phone at 352-265-0111.

Location: 1600 Sw Archer Rd, Gainesville, FL, 07751-1474
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649030826
Provider Name
Tyler Grossbaum
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1600 Sw Archer Rd, Gainesville, FL, 07751-1474
Phone Number
352-265-0111
Fax Number
Provider Enumeration Date
03/22/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1600 Sw Archer Rd
City
Gainesville
State
Florida
Zip
32610-3003
Phone Number
352-265-0111
Fax Number
person
Provider Business Mailing Address Details
Address
1600 Sw Archer Rd
City
Gainesville
State
Florida
Zip
32610-3003
Phone Number
352-265-0111
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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