Individual
DR. JOHN SUYDAM GROH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1800 SE TIFFANY AVE, PORT SAINT LUCIE, FL 34952-7521
(772) 398-1990
(772) 398-1925
Mailing address
1800 SE TIFFANY AVE, PORT SAINT LUCIE, FL 34952-7521
(772) 398-1990
(772) 398-1925
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
UO 2705
FL
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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