Organization
HEALTHSPARK MEDICAL GROUP PA
Active
Other names
HealthSpark Medical Group PC
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN GRINICH (OPERATIONS ADMINISTRATOR)
(415) 704-7979
Entity
Organization
Contact information
Practice address
2332 GALIANO ST FL 2, CORAL GABLES, FL 33134-5402
(415) 707-7134
Mailing address
2332 GALIANO ST FL 2, CORAL GABLES, FL 33134-5402
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/21/2025
Last updated
11/18/2025
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