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Danielle Janine Grontas

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

2195 Jenks Ave, Panama City, FL 32405-4682

PECOS Enrollment

This provider is enrolled in PECOS as DANIELLE GRONTAS.

Based on the most recent information from CMS, provider Danielle Janine Grontas is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1497500805
Provider Type
Individual
Full Name
Grontas, Danielle Janine
Credential
APRN

Gender
Female
Sole Proprietor
No
Enumeration Date
4/19/2024
Last Updated
6/6/2024

Contact Information

Practice Location

2195 Jenks Ave, Panama City, FL 32405-4682

(850) 784-6696

Unlisted Fax

Mailing Location

809 Iowa Ave, Lynn Haven, FL 32444-1944

(334) 425-0973

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN11032393 Florida

Danielle Janine Grontas

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Wiggins, Haley

Stringer, Pamela C

Mclemore, April D

Gemsch, Linda Jolene

Ferris, Bruce Franklin

Sims, Kayla Patrice

Wester, Jordan

Rogers, Joan Barbaree

Rogers, Linae Noel

Kattasseri Varghese, Neethu