Individual
TABATA BAHIENSE GRODIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2800 S SEACREST BLVD STE 220, BOYNTON BEACH, FL 33435-7965
(561) 413-2850
Mailing address
2800 S SEACREST BLVD STE 220, BOYNTON BEACH, FL 33435-7965
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME138810
FL
Other
Enumeration date
06/13/2015
Last updated
04/07/2022
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