Individual
MR. MATTHEW ETAN GRUSKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBA, CO
Contact information
Practice address
1071 NE 83RD ST, MIAMI, FL 33138-4137
(561) 702-3094
Mailing address
1071 NE 83RD ST, MIAMI, FL 33138-4137
(561) 702-3094
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
ORT249
FL
Other
Enumeration date
01/03/2019
Last updated
02/15/2024
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