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Individual
DERRICK GRONDIN
Active
Individual
DERRICK GRONDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11034993
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11034993
FL
Other
Enumeration date
06/24/2025
Last updated
09/11/2025
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