Organization
CALIFORNIA CLUB MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK GRNJA IV D.O. (CFO)
(954) 929-3400
Entity
Organization
Contact information
Practice address
850 IVES DAIRY ROAD, UNIT 14, NORTH MIAMI BEACH, FL 33179
(305) 405-0365
(305) 405-0370
Mailing address
850 IVES DAIRY ROAD, UNIT 14, NORTH MIAMI BEACH, FL 33179
(305) 405-0365
(305) 405-0370
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
HCC6244
FL
207Q00000X
Family Medicine Physician
—
FL
Other
Enumeration date
06/02/2006
Last updated
07/31/2008
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