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Individual

SHAUN GRUENBAUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
(203) 785-6664
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
(203) 785-6664

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
52223
CT
207L00000X
Anesthesiology Physician
Primary
ME137867
FL

Other

Enumeration date
04/13/2009
Last updated
09/01/2020
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