Individual
MANPREET SINGH GREWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 N FEDERAL HWY STE 101, POMPANO BEACH, FL 33062
(954) 807-9545
Mailing address
4608 SWILCAN BRIDGE LN S, JACKSONVILLE, FL 32224-5620
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME96458
FL
208C00000X
Colon & Rectal Surgery Physician
Primary
ME96458
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004232800
—
FL
01
—
14H4X
BCBS
FL
Enumeration date
12/04/2007
Last updated
12/15/2020
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