MEDICARE: LINDA A GROENE M.D

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	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	ME41488	FL

General Provider Information

NPI Number	:	1841255007
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA A GROENE M.D

Provider Business Mailing Address
First Line	:	6405 N FEDERAL HWY
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-1412
Country	:	US
Telephone Number	:	954-772-0062
Fax Number	:	954-772-0845

Provider Business Practice Location Address
First Line	:	2021 E COMMERCIAL BLVD STE 201
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-3754
Country	:	US
Telephone Number	:	954-772-0062
Fax Number	:	954-772-0845

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

Provider Enumeration Date	:	04/19/2006
Last Update Date	:	01/08/2019

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