Gromniak, Suzanne Marie

Gromniak, Suzanne Marie is an individual health care provider with primary practice located at 4701 S Flamingo Rd , Cooper City FL 33330-2312. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Gromniak, Suzanne Marie can be contacted via phone (954) 434-3160.

Contact Information

Primary practice address
4701 S Flamingo Rd Cooper City FL 33330-2312
Phone: (954) 434-3160
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Community Health 363LC1500X 320008 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 11002278 Florida

Profile Details

NPI number 1336192525
LBN Legal business name Gromniak, Suzanne Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Sep 13th, 2021 - about 4 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 1336192525 NPPES
New York MEDICAID 01777751

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