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NPI Code Detail

MEDICARE: MRS. KEREN YUNGER GRUZIN RMFTI

MEDICARE: MRS. KEREN YUNGER GRUZIN RMFTI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistIMT4615FL

General Provider Information

NPI Number : 1326983529
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KEREN YUNGER GRUZIN RMFTI
Provider Business Mailing Address
First Line : 19195 MYSTIC POINTE DR APT 904
Second Line :
City : AVENTURA
State : FL
Zip : 33180-4505
Country : US
Telephone Number : 786-431-8115
Fax Number :
Provider Business Practice Location Address
First Line : 6100 GRIFFIN RD FL 2
Second Line :
City : DAVIE
State : FL
Zip : 33314-4416
Country : US
Telephone Number : 954-341-5215
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2026
Last Update Date : 04/22/2026

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Directions to “ MRS. KEREN YUNGER GRUZIN RMFTI” Practice Location

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