Individual
DONALD GRUNDY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3500 E FLETCHER AVE STE 100, TAMPA, FL 33613-4701
(813) 821-8038
(813) 974-0483
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038
(813) 974-0483
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT42143
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124038400
—
FL
01
—
Y911W
BCBS
FL
Enumeration date
09/13/2024
Last updated
11/04/2024
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