Provider Demographics
NPI:1154551612
Name:GROS, JANET K
Entity type:Individual
Prefix:MRS
First Name:JANET
Middle Name:K
Last Name:GROS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 KINGS WAY
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-1567
Mailing Address - Country:US
Mailing Address - Phone:561-842-3213
Mailing Address - Fax:561-863-4352
Practice Address - Street 1:1201 AUSTRALIAN AVE
Practice Address - Street 2:
Practice Address - City:RIVIERA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33404-6635
Practice Address - Country:US
Practice Address - Phone:561-842-3213
Practice Address - Fax:561-863-4352
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-19
Last Update Date:2009-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency