Organization
GROW & BE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISETT RODRIGUEZ JIMENEZ (PRESIDENT)
(786) 803-3054
Entity
Organization
Contact information
Practice address
160 DUXBURY AVE, PORT CHARLOTTE, FL 33952-8331
(786) 803-3054
Mailing address
160 DUXBURY AVE, PORT CHARLOTTE, FL 33952-8331
(786) 803-3054
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/08/2026
Last updated
02/12/2026
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