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Organization

LAURA A GRUNEIRO MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LAURA GRUNEIRO MD (OWNER)
(570) 620-7053
Entity
Organization

Contact information

Practice address
18316 MURDOCK CIR, SUITE 107, PORT CHARLOTTE, FL 33948-1008
(507) 620-7053
Mailing address
18316 MURDOCK CIR, SUITE 107, PORT CHARLOTTE, FL 33948-1008
(507) 620-7053

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
ME86827
FL

Other

Enumeration date
04/12/2010
Last updated
04/12/2010
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