Grynberg, Fred

Grynberg, Fred is an individual health care provider with primary practice located at 1190 Nw 95Th St Ste 108 , Miami FL 33150-2064. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Grynberg, Fred can be contacted via phone (305) 547-4669.

Contact Information

Primary practice address
1190 Nw 95Th St Ste 108 Miami FL 33150-2064
Fax: (305) 545-4934
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X ME53766 Florida

Profile Details

NPI number 1083600803
LBN Legal business name Grynberg, Fred
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Feb 20th, 2023 - 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 1083600803 NPPES
Florida MEDICAID 040636800

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