Dr Simon Groseclose, DC | |
10335 Cross Creek Blvd Ste 9, Tampa, FL 33647-2794 | |
(813) 358-1994 | |
(813) 200-2017 |
Full Name | Dr Simon Groseclose |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 15 Years |
Location | 10335 Cross Creek Blvd Ste 9, Tampa, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215211412 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 10421 (Florida) | Primary |
111N00000X | Chiropractor | CH10421 (Florida) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Simon Groseclose Dc Llc | 3779850912 | 2 |
Provider Name | Simon Groseclose Dc Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1275073710 PECOS PAC ID: 3779850912 Enrollment ID: O20170518002111 |
Mailing Address | Practice Location Address |
---|---|
Dr Simon Groseclose, DC 10335 Cross Creek Blvd Ste 9, Tampa, FL 33647-2794 Ph: (410) 271-3927 | Dr Simon Groseclose, DC 10335 Cross Creek Blvd Ste 9, Tampa, FL 33647-2794 Ph: (813) 358-1994 |
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