Groesbeck, Mary Jeanne

Groesbeck, Mary Jeanne is an sole proprietor health care provider with primary practice located at 2385 Nw Executive Center Dr Ste 100, Boca Raton FL 33431-8579. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Groesbeck, Mary Jeanne can be contacted via phone (561) 350-3644.

Contact Information

Primary practice address
2385 Nw Executive Center Dr Ste 100 Boca Raton FL 33431-8579
Phone: (561) 350-3644
Fax: (561) 245-7374
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X ARNP3135372 Florida

Profile Details

NPI number 1275628760
LBN Legal business name Groesbeck, Mary Jeanne
Credentials DNSC, ARNP, CS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Jan 6th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275628760 NPPES
Florida MEDICAID 303903000

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