Grundt, Brian Jeffrey

Grundt, Brian Jeffrey is an individual health care provider with primary practice located at 180 John F Kennedy Dr , Atlantis FL 33462-6641. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Grundt, Brian Jeffrey can be contacted via phone (561) 967-6500.

Contact Information

Primary practice address
180 John F Kennedy Dr Atlantis FL 33462-6641
Phone: (561) 967-6500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS16891 Florida
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X OS16891 Florida
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X OS16891 Florida

Profile Details

NPI number 1437682267
LBN Legal business name Grundt, Brian Jeffrey
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2017
Last updated Mar 1st, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437682267 NPPES
Florida MEDICAID 108480300

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