Individual
DR. BENJAMIN FREDRICK GRUENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
056772
CT
207L00000X
Anesthesiology Physician
Primary
ME145904
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/22/2013
Last updated
09/30/2020
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