Individual
DR. GERALD E GRUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N CATTLEMEN RD, SUITE 100, SARASOTA, FL 34232-6422
(941) 378-3231
(941) 378-3253
Mailing address
6600 UNIVERSITY PKWY, STE 102, LAKEWOOD RANCH, FL 34240-9040
(941) 378-3231
(941) 378-3253
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD61413006
WA
2085R0202X
Diagnostic Radiology Physician
ME63973
FL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME63973
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25248U
MEDICARE INDIVIDUAL PROVIDER I.D.
FL
Enumeration date
03/21/2006
Last updated
08/15/2024
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