Provider Demographics
NPI:1881741023
Name:GROSZ, PATRICIA L CLAY (RN)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:L CLAY
Last Name:GROSZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:DR
Other - First Name:PAT
Other - Middle Name:
Other - Last Name:GROSZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:1330 ECKLES DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-5160
Mailing Address - Country:US
Mailing Address - Phone:813-935-1706
Mailing Address - Fax:813-375-3984
Practice Address - Street 1:1308 W SLIGH AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33604-5902
Practice Address - Country:US
Practice Address - Phone:813-375-3980
Practice Address - Fax:813-375-3984
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN528292163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse