Organization
G DERMATOLOGY, PLLC.
Active
Organization
G DERMATOLOGY, PLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMONE GRUNER PA (OWNER)
(201) 214-2299
Entity
Organization
Contact information
Practice address
48 NW 25TH ST STE 102, MIAMI, FL 33127-4442
(201) 214-2299
Mailing address
3711 PINE TREE DR, MIAMI BEACH, FL 33140-3935
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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