Organization Active NPI

Grove Health PA

  • Family Medicine Physician
  • Fort Lauderdale, FL
National Provider Identifier
1831025972
Registry record updated Nov 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GROVE HEALTH PA
Practice address
100 N Federal Hwy Ste 150
Fort Lauderdale, FL 33301-3507
Phone
(062) 823-0590
NPI assigned
Jun 18, 2026
Last updated
Nov 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2026

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

Authorized official

Name
Michael Ednie, MD
Title
President
Phone
(628) 230-6806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

100 N Federal Hwy Ste 150
Fort Lauderdale, FL 33301-3507

Mailing address

100 N Federal Hwy Ste 150
Fort Lauderdale, FL 33301-3507
Phone (062) 823-0590

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1781740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793750400000",
    "number": "1831025972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N FEDERAL HWY STE 150",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333013507",
            "telephone_number": "062-823-0590",
            "fax_number": "800-692-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N FEDERAL HWY STE 150",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333013507",
            "telephone_number": "062-823-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVE HEALTH PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-18",
        "last_updated": "2026-11-04",
        "certification_date": "2026-11-04",
        "status": "A",
        "authorized_official_last_name": "EDNIE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "628-230-6806",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2026; 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.