Individual
LIA GROULX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
745 MEADOWS RD STE 101, BOCA RATON, FL 33486-2324
(833) 556-6764
Mailing address
1001 NW 13TH ST STE 201, BOCA RATON, FL 33486-2269
(561) 955-6663
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9118282
FL
Other
Enumeration date
01/03/2024
Last updated
02/27/2025
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