Individual
BRIAN JEFFREY GRUNDT
Active
Individual
BRIAN JEFFREY GRUNDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS16891
FL
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
OS16891
FL
208M00000X
Hospitalist Physician
OS16891
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108480300
—
FL
Enumeration date
04/08/2017
Last updated
03/19/2026
Update your record
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