Michael Thomas Grondin, PA

NPI #1457531865 in Pembroke Pines, Florida

Provider Information

NPI Number: 1457531865
Entity Type: Individual
Name: Michael Thomas Grondin, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Nov 14, 2007
Last Updated: Jun 15, 2022

Practice Location

Address: 601 NW 179TH AVE
Address 2: SUITE 104
City: Pembroke Pines
State: Florida
ZIP Code: 33029-2819
Phone: (954) 431-2122

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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