Individual
DERRICK GRONDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1400 S ORANGE AVE # MP706, ORLANDO, FL 32806-2134
(321) 843-8010
(321) 843-6330
Mailing address
1703 S SUMMERLIN AVE, ORLANDO, FL 32806-4018
(906) 458-5641
(321) 843-6330
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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