Individual
DR. MARY JEANNE GROESBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNSC, ARNP, CS
Contact information
Practice address
2385 NW EXECUTIVE CENTER DR, STE 100, BOCA RATON, FL 33431-8579
(561) 350-3644
(561) 245-7374
Mailing address
2385 NW EXECUTIVE CENTER DR, STE 100, BOCA RATON, FL 33431-8579
(561) 350-3644
(561) 245-7374
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP3135372
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303903000
—
FL
Enumeration date
10/03/2006
Last updated
01/06/2012
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