Individual
MR. AUSTIN GROVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10111 BEDFORD LAKES CT, JACKSONVILLE, FL 32222-4119
(352) 235-0395
Mailing address
10111 BEDFORD LAKES CT, JACKSONVILLE, FL 32222-4119
(352) 235-0395
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11021267
FL
363LF0000X
Family Nurse Practitioner
RN9390729
FL
Other
Enumeration date
08/05/2022
Last updated
08/08/2022
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