Provider Demographics
NPI:1881301521
Name:GROGINS, BRITTANY (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:GROGINS
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 BEHRING WAY
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-1608
Mailing Address - Country:US
Mailing Address - Phone:561-531-1339
Mailing Address - Fax:
Practice Address - Street 1:1135 FULTON ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-2613
Practice Address - Country:US
Practice Address - Phone:718-972-2424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-02
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical