Organization
GROENVELD ENTERPRISES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA K GROENEVELD (PRESIDENT)
(954) 771-3058
Entity
Organization
Contact information
Practice address
4710 NE 25TH AVE, FORT LAUDERDALE, FL 33308-4811
(954) 938-0285
Mailing address
4710 NE 25TH AVE, FORT LAUDERDALE, FL 33308-4811
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
06/04/2007
Last updated
08/29/2008
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