Organization
ALEJANDRO J. GRUNEIRO M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEJANDRO J GRUNEIRO M.D. (OWNER)
(941) 625-3411
Entity
Organization
Contact information
Practice address
18308 MURDOCK CIR, 109, PORT CHARLOTTE, FL 33948-1008
(941) 625-3411
(941) 625-1792
Mailing address
18308 MURDOCK CIR, 109, PORT CHARLOTTE, FL 33948-1008
(941) 625-3411
(941) 625-1792
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME97870
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277603100
—
FL
Enumeration date
02/02/2010
Last updated
02/02/2010
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