Organization
GRASSROOTS HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FOLORUNSO IBRAHEEM DNP, MBBS, CFNP (PRESIDENT)
(305) 776-9911
Entity
Organization
Contact information
Practice address
7760 LANDOVER RD, LANDOVER, MD 20785-2135
(410) 482-4434
(949) 862-8021
Mailing address
2312 PARKSIDE DR, BOWIE, MD 20721-4223
(305) 776-9911
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
P09000013502
FL
Other
Enumeration date
04/21/2009
Last updated
01/18/2023
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