Provider Demographics
NPI:1790724110
Name:GROPPER, ADAM S (MD)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:S
Last Name:GROPPER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:15400 BISCAYNE BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33160-4614
Mailing Address - Country:US
Mailing Address - Phone:305-957-7277
Mailing Address - Fax:305-957-7048
Practice Address - Street 1:4770 BISCAYNE BLVD STE 880
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-3235
Practice Address - Country:US
Practice Address - Phone:305-674-7575
Practice Address - Fax:651-490-7797
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2020-10-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME779412085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL256445900Medicaid
FLG93329Medicare UPIN