Most Relevant Information
Provider Data
| NPI Number: | 1003460577 |
| Provider Name: | MARIE GRUCA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/01/2019 |
| Last Updated: | 08/01/2019 |
Provider Practice Location
7777 131ST STREET 7
SEMINOLE
FL
33776
Practice Location Phone/Fax
| Phone: | 7274925369 |
| Fax: |
Provider Mailing Location
7777 131ST STREET 272
SEMINOLE
FL
33776
Provider Mailing Phone/Fax
| Phone: | 7274925369 |
| Fax: |