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Individual

DR. MEEGAN MINORI GRUBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD/PHD

Contact information

Practice address
3979 MORAN RD, TAMPA, FL 33618
(888) 400-0086
Mailing address
17113 JOURNEYS END DR, ODESSA, FL 33556
(503) 991-8500

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
MD25866
OR
208200000X
Plastic Surgery Physician
Primary
ME132229
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
269789
OR
05
ME132229
FL
Enumeration date
04/20/2006
Last updated
01/13/2026
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