Isabella Hassan Di Gruccio
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Parkland, FL
NPI 1972069219 · NPPES record last updated Feb 12, 2019
Key facts
- NPI
- 1972069219
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 10655 S Lago Vista Cir
Parkland, FL 33076-2982 - Phone
- (954) 940-0971
- NPI assigned
- Feb 12, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
10655 S Lago Vista Cir
Parkland, FL 33076-2982
Mailing address
10655 S Lago Vista Cir
Parkland, FL 33076-2982
Phone (954) 940-0971
Other providers in Parkland, FL
- Janine Debrito
- Julia Debs
- Angela Lynn Delgado
- Desai Radiology PA
- Jean Herby Desravins
- Thierno A Diallo
- Donna Rush P.a
- Aaron Dougherty
- Sudeen Douglas
- Bradley Robert Drury
All providers in Parkland, FL · Student in an Organized Health Care Education/Training Program in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.