Gruver, Carol L
Gruver, Carol L is an individual health care provider with primary practice located at 708 Del Prado Blvd S Ste 7 , Cape Coral FL 33990-2676. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Gruver, Carol L can be contacted via phone (239) 424-3660.Contact Information
Primary practice address
708 Del Prado Blvd S Ste 7
Cape Coral FL 33990-2676
Phone: (239) 424-3660
Fax: (239) 343-4133
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 44926 | Georgia |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 28211 | Tennessee |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ME166902 | Florida |
Profile Details
| NPI number | 1114916939 |
|---|---|
| LBN Legal business name | Gruver, Carol L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2005 |
| Last updated | Nov 5th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114916939 | NPPES |
| Florida | MEDICAID | 124206400 | |
| Florida | MEDICAID | 38047201 |
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