Vanessa Grimaldi, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9106398 Issued in FL

Practice address

6971 W Sunrise Blvd
Suite 102
Plantation, FL 33313-4407

Phone

(954) 791-0711

NPI assigned

Feb 4, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Florida Atlantic University

  dba Memory and Wellness Center

  • Gerontology Nurse Practitioner
  • Boca Raton, FL
  • NPI 1164591954
  NPD (past)
• Florida Atlantic University

  dba Student Health Center Clinic

  • Student Health Clinic/Center
  • Boca Raton, FL
  • NPI 1255541850
  NPD (past)
• South Florida Family Health and Research Centers, LLC.

  dba Lice Cleanique

  • Primary Care Clinic/Center
  • Miami, FL
  • NPI 1053548537
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1053650549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6971 W SUNRISE BLVD",
            "address_2": "SUITE 102",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333134407",
            "telephone_number": "954-791-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6971 W SUNRISE BLVD",
            "address_2": "SUITE 102",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333134407",
            "telephone_number": "954-791-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMALDI",
        "first_name": "VANESSA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-04",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9106398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodney Lee Gress, RPH
• Tripat Simran Kaur Grewal, PT
• Samantha Grey
• Todd Griffin, PA-C
• Marios Grigoropoulos, D.D.S.
• Zvi Gross, MD
• Lisa Ellen Grossfarber, PT
• Fabienne Grossman, RD, LD
• Michael D. Grossman, MD
• Michele A Grundstein, MD

• Physician Assistant in Plantation, FL
• Providers in Plantation, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.