Grunfeld, Jeremy David

Grunfeld, Jeremy David is an sole proprietor health care provider with primary practice located at 7301 W Palmetto Park Rd Ste 105B , Boca Raton FL 33433-3455. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Grunfeld, Jeremy David can be contacted via phone (561) 717-0960.

Contact Information

Primary practice address
7301 W Palmetto Park Rd Ste 105B Boca Raton FL 33433-3455
Phone: (561) 717-0960
Fax: (561) 717-3043
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MT 1955 Florida

Profile Details

NPI number 1215152905
LBN Legal business name Grunfeld, Jeremy David
Credentials PH. D,
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 16th, 2007
Last updated Nov 10th, 2022 - about 4 years ago

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 1215152905 NPPES
Florida MEDICAID 019955800

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