Individual provider · Type 1 NPI
Derrick Grondin, APRN
Adult Health Nurse Practitioner · Orlando, FL
NPI number
1033007653
Active
Practice location
1400 S Orange Ave # MP706
Orlando, FL 32806-2134
Fax (321) 843-6330
Mailing address
1703 S Summerlin Ave
Orlando, FL 32806-4018
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11034993 (FL) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | APRN11034993 (FL) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1033007653
Derrick Grondin, APRN's National Provider Identifier is 1033007653, issued on Jun 24, 2025. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Orlando, FL. The record was last updated on Sep 11, 2025.