Grondin, Michael Thomas

Grondin, Michael Thomas is an individual health care provider with primary practice located at 601 Nw 179Th Ave Suite 104, Pembroke Pines FL 33029-2819. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Grondin, Michael Thomas can be contacted via phone (954) 431-2122.

Contact Information

Primary practice address
601 Nw 179Th Ave Suite 104 Pembroke Pines FL 33029-2819
Phone: (954) 431-2122
Fax: (954) 432-9013
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9104351 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9104351 Florida

Profile Details

NPI number 1457531865
LBN Legal business name Grondin, Michael Thomas
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2007
Last updated Jun 15th, 2022 - about 2 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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