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NPI Code Detail

MEDICARE: DR. ROBERT GRUMET DDS

MEDICARE:  DR. ROBERT  GRUMET  DDS
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
1122300000XDentist6819FL

General Provider Information

NPI Number : 1366571150
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT GRUMET DDS
Provider Business Mailing Address
First Line : 12900 NE 17TH AVE STE 500
Second Line :
City : NORTH MIAMI
State : FL
Zip : 33181-2058
Country : US
Telephone Number : 305-891-0600
Fax Number :
Provider Business Practice Location Address
First Line : 12900 NE 17TH AVE STE 500
Second Line :
City : NORTH MIAMI
State : FL
Zip : 33181-2058
Country : US
Telephone Number : 305-891-0600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2007
Last Update Date : 07/08/2007

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Directions to “ DR. ROBERT GRUMET DDS” Practice Location

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