Organization
GULF COAST RHEUMATOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM JACOB GRUNBAUM DO, FACOI, FACR (PRESIDENT/CEO)
(727) 940-9391
Entity
Organization
Contact information
Practice address
9332 STATE ROAD 54 STE 301, TRINITY, FL 34655-1810
(727) 940-9391
(727) 937-4003
Mailing address
850 E LIME ST # 1939, TARPON SPRINGS, FL 34689-4702
(727) 940-9391
(727) 937-4003
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
OS9755
FL
Other
Enumeration date
04/07/2017
Last updated
01/23/2019
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