Mini Clinic of Vero Beach LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

3396072 Issued in FL

Legal business name

MINI CLINIC OF VERO BEACH LLC

Practice address

777 37TH St
Suite B103
Vero Beach, FL 32960-4873

Phone

(772) 567-0033

Fax

(772) 567-1714

NPI assigned

Mar 4, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Patricia Ann Grenzenbach, ARNPNPI 1598797920

Title

Arnp Business Owner

Phone

(772) 567-0033

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia Ann Grenzenbach, ARNP

  • Family Nurse Practitioner
  • Vero Beach, FL
  • NPI 1598797920
  NPD (past) Authorized official

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1154591279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 37TH ST",
            "address_2": "SUITE B103",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604873",
            "telephone_number": "772-567-0033",
            "fax_number": "772-567-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 37TH ST",
            "address_2": "SUITE B103",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604873",
            "telephone_number": "772-567-0033",
            "fax_number": "772-567-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINI CLINIC OF VERO BEACH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "GRENZENBACH",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ARNP BUSINESS OWNER",
        "authorized_official_telephone_number": "772-567-0033",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "3396072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Miller, PA-C
• Roxanna Linda Miller, M.ED
• Daryl Lynn Millman, PH.D.
• Allison E Mills, ARNP
• Valerie Milwood, OTR/L, CHT
• Raquelle Alicia Ministre, M.D.
• Minly Inc
• Paul Victor Minotty, M.D.
• Darian Dene Minzenmayer
• Fernando G Miranda, MD

• Primary Care Clinic/Center in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.