MICHAEL THOMAS GRONDIN (NPI# 1457531865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457531865 |
Entity Type | Individual |
Full Name | MICHAEL THOMAS GRONDIN |
Credential | PA |
Practice Address |
601 Nw 179th Ave Suite 104 Pembroke Pines FL 33029-2819 |
Mailing Address |
2301 North University Dr Suite 112 Pembroke Pines FL 33024 |
Practice Telephone | 9544312122 |
Practice Fax Number | 9544329013 |
Mailing Telephone | 9549636500 |
Mailing Fax Number | 9549636233 |
Enumeration Date | 2007-11-14 |
Last Update Date | 2010-11-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9104351 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
601 NW 179TH AVE SUITE 104 |
City | PEMBROKE PINES |
State | FL |
Zip Code | 33029-2819 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376581801 | Pamela T Stearns | Internal Medicine | 601 Nw 179th Ave, Suite 102, Pembroke Pines, FL 33029 | 2006-06-04 |
1629433842 | Selena Hodgers | Nurse Practitioner | 601 Nw 179th Ave, Suite 103, Pembroke Pines, FL 33029-2819 | 2015-12-15 |
1396055950 | Ileana Nunez | Nurse Practitioner | 601 Nw 179th Ave, Suite 102, Pembroke Pines, FL 33029-2819 | 2010-10-18 |
1992968721 | South Dental of Pembroke | Dentist | 601 Nw 179th Ave, Suite 101, Pembroke Pines, FL 33029-2819 | 2008-07-02 |
1902086408 | My Ob Gyn LLC | Obstetrics & Gynecology | 601 Nw 179th Ave, Suite 102, Pembroke Pines, FL 33029-2819 | 2007-11-13 |
1386835742 | Ana M Hernandez D O P A | Family Medicine | 601 Nw 179th Ave, Suite # 104, Pembroke Pines, FL 33029-2819 | 2007-08-09 |
1528262052 | Luis Hernando Ochoa | Dentist | 601 Nw 179th Ave, # 101, Pembroke Pines, FL 33029-2819 | 2007-06-11 |
1457473704 | Michele Joy Lapayowker | Obstetrics & Gynecology | 601 Nw 179th Ave, Suite 102, Pembroke Pines, FL 33029-2819 | 2007-04-06 |
1962563395 | Helen Margaret Salsbury | Obstetrics & Gynecology | 601 Nw 179th Ave, Suite 102, Pembroke Pines, FL 33029-2819 | 2006-12-12 |
1710925318 | Leon Talan | Internal Medicine | 601 Nw 179th Ave, Suite 102, Pembroke Pines, FL 33029-2819 | 2006-06-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407418981 | Whole Life Distributors | Clinical Nurse Specialist | 1055 Nw 187th Avenue, Pembroke Pines, FL 33029 | 2019-07-03 |
1295215507 | Rise N Shine Pharmacy Inc | Pharmacy | 17913 Nw 7 Street, Suite 104, Pembroke Pines, FL 33029 | 2018-08-16 |
1124505631 | Ivabella Alexandre | Nurse Practitioner | 17590 Sw 29th Ct, Miramar, FL 33029 | 2018-07-26 |
1346735883 | Ally Suzanne Montero | Specialist/Technologist | 18549 Sw 50th Ct, Miramar, FL 33029 | 2018-06-27 |
1386144046 | Alfonso Chie | Chiropractor | 18249 Pines Blvd, Pembroke Pines, FL 33029 | 2018-02-19 |
1316454960 | Danay Rodriguez-arritola | Registered Nurse | 1501 Sw 186 Ave, Pembroke Pines, FL 33029 | 2018-01-04 |
1316456528 | Orestes Mederos | Student in an Organized Health Care Education/Training Program | 17429 Sw 54 St, Miramar, FL 33029 | 2017-09-20 |
1508389644 | Konfetti Kidz Therapy | Occupational Therapy Assistant | 17901 Nw 5th St Ste 201, Pembroke Pines, FL 33029 | 2017-07-20 |
1215458765 | Nilien Cruz Palenzuela | Behavior Technician | 18024 Nw 21st St, Pembroke Pines, FL 33029 | 2017-07-05 |
1033650288 | Best Onsite Therapy Services, Inc. | Home Health | 18541 Sw 43rd Street, Miramar, FL 33029 | 2017-03-20 |
Find all providers in zip 33029 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154953826 | Anne Marie Salsbury Company | Physician Assistant | 601 Nw 179th Ave Ste 102, Pembroke Pines, FL 33029-2819 | 2020-02-10 |
1598271322 | Kaitlyn Rowan | Physician Assistant | 2210 Nw 167th Ave Apt 9-206, Pembroke Pines, FL 33028-1877 | 2017-12-15 |
1518404482 | Oscar Miranda | Physician Assistant | 18456 Nw 24 Street, Pembroke Pines, FL 33029 | 2017-01-30 |
1760721617 | Katherine V Marshall | Physician Assistant | 680 North University Dr, Pembroke Pines, FL 33024 | 2013-02-12 |
1629386396 | Luis D'montique Soriano | Physician Assistant | 1220 Bel Aire Dr W, Pembroke Pines, FL 33027-2220 | 2010-09-15 |
1972721256 | Gustavo A Aguilar | Physician Assistant | Boulevard Professional Centre 10796 Pines Blvd Ste 103, Pembroke Pines, FL 33026 | 2007-04-23 |
1285771808 | Derrick Anthony Davis | Physician Assistant | 320 S Flamingo Rd, # 112, Pembroke Pines, FL 33027-1770 | 2007-01-31 |
1063473502 | Cynthia L Stimeck | Physician Assistant | 20021 Nw 3rd St, Pembroke Pines, FL 33029-3312 | 2006-03-31 |
1124096946 | Robert J Bertot | Physician Assistant | 703 N Flamingo Road, Pembroke Pines, FL 33028 | 2006-03-08 |
1851921738 | Katherin Rodriguez | Physician Assistant | 501 Nw 179th Ave, Pembroke Pines, FL 33029-2807 | 2020-01-20 |
Find all providers in PEMBROKE PINES |
City | PEMBROKE PINES |
Zip Code | 33029 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.