| Dr. Jeremy Grunfeld, Llc | |
|
7301 W Palmetto Park Rd Ste 105b Boca Raton FL 33433-3455 | |
| (561) 717-0960 | |
| (561) 717-3043 |
| Full Name | Dr. Jeremy Grunfeld, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7301 W Palmetto Park Rd Ste 105b, Boca Raton, Florida |
| Authorized Official Name and Position | Jeremy Grunfeld (OWNER) |
| Authorized Official Contact | 5612718768 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Jeremy Grunfeld, Llc 7301 W Palmetto Park Rd Ste 105b Boca Raton FL 33433-3455 Ph: (561) 717-0960 | Dr. Jeremy Grunfeld, Llc 7301 W Palmetto Park Rd Ste 105b Boca Raton FL 33433-3455 Ph: (561) 717-0960 |
| NPI Number | 1053029876 |
|---|---|
| Provider Enumeration Date | 11/10/2022 |
| Last Update Date | 11/10/2022 |
| Certification Date | 11/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053029876 | NPI | - | NPPES |
| 103496700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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