Individual
LISA KIMBERLY GROVENSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
3 SHIRCLIFF WAY STE 322, JACKSONVILLE, FL 32204-4780
(904) 384-8088
(904) 384-4745
Mailing address
11945 SAN JOSE BLVD STE 300, JACKSONVILLE, FL 32223-1627
(904) 396-1725
(904) 396-4893
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY2395
FL
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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