Individual
JEFFREY JOSEPH GRONKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2125 CRYSTAL GROVE DR, LAKELAND, FL 33801-6875
(863) 688-2334
Mailing address
2125 CRYSTAL GROVE DR, LAKELAND, FL 33801-6875
(863) 688-2334
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
DR.0067589
CO
2085R0202X
Diagnostic Radiology Physician
Primary
ME119298
FL
Other
Enumeration date
04/15/2008
Last updated
04/19/2022
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