Individual
DR. FRED GRYNBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1190 NW 95TH ST STE 108, MIAMI, FL 33150-2064
(305) 547-4669
(305) 545-4934
Mailing address
8600 SW 92ND ST STE 204A, MIAMI, FL 33156-7377
(305) 436-9933
(305) 436-9944
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME53766
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040636800
—
FL
Enumeration date
09/27/2005
Last updated
02/20/2023
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