Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael Thomas Grondin, PA

Individual provider Medical Physician Assistant · NPI 1457531865

Michael Thomas Grondin, PA is a Physician Assistant in Pembroke Pines, Florida. Qualified in 2007, 19 years ago. Practices with Urgent Med Inc, a 5-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
19
Licensed in
FL
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

601 NW 179th Ave Ste 104
Pembroke Pines, FL 33029-2819
Phone: (954) 431-2122
Fax: (954) 432-9013
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9104351 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA9104351 (FL)

Record details

NPI number1457531865
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 14, 2007
Last updated in NPPESJune 15, 2022
Certification dateJune 15, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Urgent Med Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Pembroke Pines