Grooms, Madeline Jane
Grooms, Madeline Jane is an individual health care provider with primary practice located at 1899 Moorings Cir , Middleburg FL 32068-6647. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Grooms, Madeline Jane can be contacted via phone (352) 262-4641.Contact Information
Primary practice address
1899 Moorings Cir
Middleburg FL 32068-6647
Phone: (352) 262-4641
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9115868 | Florida |
Profile Details
| NPI number | 1720725286 |
|---|---|
| LBN Legal business name | Grooms, Madeline Jane |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2022 |
| Last updated | May 17th, 2022 - 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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