Gronberg, John Eric

Gronberg, John Eric is an individual health care provider with primary practice located at 3400 N. 29Th Avenue , Hollywood FL 33020. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Gronberg, John Eric can be contacted via phone (954) 965-6408.

Contact Information

Primary practice address
3400 N. 29Th Avenue Hollywood FL 33020
Phone: (954) 965-6408
Fax: (954) 965-6444
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH2968 Florida

Profile Details

NPI number 1245518794
LBN Legal business name Gronberg, John Eric
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2011
Last updated Sep 19th, 2019 - about 7 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 1245518794 NPPES
Florida MEDICAID 009867400

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