Search › Florida › 156FX1800X
Kenneth Groleau
NPI 1821452236 · on the registry since 2016
Practice
- Address
- 225 Blanding Blvd.
Orange Park, FL 32073 - Phone
- (904) 276-4611
- Organisation at this address
- Kens United Optical
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 156FX1800X
156FX1800X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-04-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida