Individual
EMILY J. GROVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
110 LONGWOOD AVE, ROCKLEDGE, FL 32955-2828
(321) 637-2616
Mailing address
1726 SAFFRON PLUM LN, ORLANDO, FL 32828-7355
(304) 280-3132
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9279295
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0094890 00
—
FL
01
—
G01EG
BCBS
FL
01
—
XXX-XX-9958
CHAMPUS / TRICARE (SOUTH REGION)
—
Enumeration date
06/17/2013
Last updated
03/12/2014
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