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Individual

JOHN GROUNDLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
10274441-1205
UT
207X00000X
Orthopaedic Surgery Physician
TRN18020
FL
2251X0800X
Orthopedic Physical Therapist
PT 22672
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00465915
RR MEDICARE
FL
01
TRN 18020
RESIDENT TRAINING LICENSE
FL
Enumeration date
05/23/2006
Last updated
11/02/2021
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