TERRY GRUCHOW

TAMPA, FL
NPI1265524359
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9102408)
Enumeration Date2006-09-28
Last Update Date2008-01-16
Business Address
-- TERRY GRUCHOW PA-C
12902 USF MAGNOLIA DR
TAMPA, FL 33612-9416
Phone number: 813-745-3134
Mailing Address
-- TERRY GRUCHOW PA-C
PO BOX 917770
ORLANDO, FL 32891-7770
Phone number:
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