Organization
INDEPENDENT JOURNEYS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE RAE GROMALSKI (OWNER/OPERATOR)
(941) 916-1276
Entity
Organization
Contact information
Practice address
30466 CEDAR RD, PUNTA GORDA, FL 33982-3308
(941) 916-1276
(941) 505-8153
Mailing address
30466 CEDAR RD, PUNTA GORDA, FL 33982-3308
(941) 916-1276
(941) 505-8153
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/03/2011
Last updated
01/03/2011
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