MEDICARE: JANET GROTE M.A. CCC/SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SA9538	FL

General Provider Information

NPI Number	:	1083974927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANET GROTE M.A. CCC/SLP

Provider Business Mailing Address
First Line	:	4821 NE 27TH TER
Second Line	:
City	:	LIGHTHOUSE POINT
State	:	FL
Zip	:	33064-7909
Country	:	US
Telephone Number	:	954-420-9097
Fax Number	:

Provider Business Practice Location Address
First Line	:	4821 NE 27TH TER
Second Line	:
City	:	LIGHTHOUSE POINT
State	:	FL
Zip	:	33064-7909
Country	:	US
Telephone Number	:	954-420-9097
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2012
Last Update Date	:	05/25/2012

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Directions to “ JANET GROTE M.A. CCC/SLP” Practice Location

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