Jacqueline Grossl

NPI 1316774649 · on the registry since 2024 · sole proprietor

Practice

Address: 3109 W Dr Martin Luther King Jr Blvd Ste 500&501
Tampa, FL 33607
Phone: (760) 710-2442
Organisation at this address: Maxim Healthcare Services, Inc
Maxim Healthcare Services, Inc.
Imagine Pediatrics Of Florida Llc
Liberty Dental Plan Of Florida, Inc.
Liberty Dental Plan Of Florida, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 41

Registry record

Primary taxonomy: 106S00000X
106S00000X
Sex: Female
Record last updated: 2024-09-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida