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Active NPI 1861051369 Organization (Entity Type 2)

Jesus A Groso Md

Family Medicine • Okeechobee, FL

About Jesus A Groso Md NPI 1861051369 Summary

Jesus A Groso Md is a verified healthcare organization specializing in Family Medicine operating in Okeechobee, FL. Located at 1008 N PARROTT AVE, this facility provides patient care and medical services under National Provider Identifier (NPI) 1861051369.

Administrative operations and authorized compliance are overseen by Jesus Groso (Physician).

The facility is associated with 2 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

1008 N Parrott Ave

Okeechobee, FL 349722110

Telephone 8634471343

Authorized Official Information

Authorized Contact Name

DR. Jesus Groso , MD

Title / Role

Physician

Official Telephone

8634471343

Facility Classifications & Specialties

Family Medicine Primary Taxonomy

NUCC Taxonomy Code: 207Q00000X

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

2 Linked
Dr. Jesus Groso , MD NPI 1396714846

Family Medicine

Okeechobee, FL

View Practitioner Profile →
Amanda Williams , ARNP, FNP-BC NPI 1841526076

Nurse Practitioner

Okeechobee, FL

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

10 Historical Events
🏛️
Organization / Clinic Name Updated September 22, 2019

Operating as JESUS A GROSO MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2019

Family Medicine

📍
Updated Practice Location July 01, 2019

Registered at 1008 N PARROTT AVE, OKEECHOBEE, FL 349722110 (Tel: 8634471343)

🏛️
Organization / Clinic Name Updated July 01, 2019

Operating as J & I GROSO FAMILY MEDICINE PLLC

✅
NPI Profile Active June 08, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location June 08, 2019

Registered at 200 NE 19TH DR, OKEECHOBEE, FL 349721932 (Tel: 8634471343)

📍
Updated Business Mailing Address June 08, 2019

Registered at 2856 NE 54TH TRL, OKEECHOBEE, FL 349728609 (Tel: 8634471343)

🏛️
Organization / Clinic Name Updated June 08, 2019

Operating as J & I GROSO FAMILY MEDICAINE PLLC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2019

Clinic/Center

🟢
Initial NPI Registration & Enumeration June 08, 2019

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1861051369
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: June 08, 2019
Last Update: September 22, 2019
Update or Correct Listing

Mailing Address

2856 Ne 54th Trl

Okeechobee, FL 349728609

Phone: 8634471343

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.