Individual
DR. LAURA ANN GRUNEIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
18316 MURDOCK CIRCLE, SUITE 107, PORT CHARLOTTE, FL 33948
(941) 627-6700
(941) 627-3300
Mailing address
18316 MURDOCK CIRCLE, SUITE 107, PORT CHARLOTTE, FL 33948
(941) 627-6700
(941) 627-3300
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD421313
PA
2086S0129X
Vascular Surgery Physician
Primary
MD421313
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001958603
—
PA
Enumeration date
03/14/2006
Last updated
03/01/2012
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