Individual
CAROL L GRUVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
708 DEL PRADO BLVD S STE 7, CAPE CORAL, FL 33990-2676
(239) 424-3660
(239) 343-4133
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 424-3660
(239) 343-4133
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
28211
TN
207RC0000X
Cardiovascular Disease Physician
44926
GA
207RC0000X
Cardiovascular Disease Physician
Primary
ME166902
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124206400
—
FL
05
—
38047201
—
TN
Enumeration date
10/14/2005
Last updated
11/05/2024
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