| Doc Road | |
|
3350 Sw 148th Ave Ste 202 Miramar FL 33027-3239 | |
| (954) 231-5148 | |
| Not Available |
| Full Name | Doc Road |
|---|---|
| Speciality | General Practice |
| Location | 3350 Sw 148th Ave Ste 202, Miramar, Florida |
| Authorized Official Name and Position | Jonathan Gruner (OWNER) |
| Authorized Official Contact | 9542315148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Doc Road 3350 Sw 148th Ave Ste 202 Miramar FL 33027-3239 Ph: (954) 231-5148 | Doc Road 3350 Sw 148th Ave Ste 202 Miramar FL 33027-3239 Ph: (954) 231-5148 |
| NPI Number | 1447996152 |
|---|---|
| Provider Enumeration Date | 05/06/2022 |
| Last Update Date | 08/12/2026 |
| Certification Date | 08/12/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447996152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
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