Laurence Shane Grundy in Tampa - Vascular & Interventional Radiology

Laurence Shane Grundy - NPI 1649239054

Laurence Shane Grundy is a Vascular & Interventional Radiology in Tampa, Florida. Laurence Shane Grundy practices all healthcare services and medical treatments related to Vascular & Interventional Radiology. The NPI Number for Laurence Shane Grundy is 1649239054. The last update date is 2016-03-08.

Laurence Shane Grundy's current location address is 2700 University Square Drive, Tampa, Florida. You can contact this provider via phone number 8132515822 and fax number 8132544597. The mailing address for Laurence Shane Grundy is 2700 University Square Drive, Tampa, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Laurence Shane Grundy
Address 2700 University Square Drive, Tampa, Florida
Phone Number 8132515822
Fax Number 8132544597
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1649239054
Provider Enumeration Date 2006-03-23
Last Updated Date 2016-03-08

Provider Mailing Address Detail

Address 2700 University Square Drive
City Tampa
State Florida (FL)
Post Code 336125513
Phone Number 8132515822
Fax Number 8132544597

Provider's Primary Taxonomy Detail

Speciality Vascular & Interventional Radiology
Taxonomy 2085R0204X
Licence No ME71962
Definition:
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
261385900 FL --
118774 AL --

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FAQs about Laurence Shane Grundy

What is the unique 10-digit identification code assigned to Laurence Shane Grundy by the Centers for Medicare & Medicaid Services?

The Laurence Shane Grundy has been issued the NPI (National Provider Identifier) 1649239054, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Laurence Shane Grundy is geographically located?

The Laurence Shane Grundy is physically situated at the following location: 2700 University Square Drive, Tampa, FL, 336125513.

What is Laurence Shane Grundy's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Laurence Shane Grundy is Vascular & Interventional Radiology, and the corresponding taxonomy classification code for this specialized field is 2085R0204X.

On what date did the Centers for Medicare & Medicaid Services issue the 1649239054 to Laurence Shane Grundy?

The Laurence Shane Grundy received its 1649239054 assignment from the Centers for Medicare & Medicaid Services on 2006-03-23.

When was the information regarding Laurence Shane Grundy most recently updated?

The details pertaining to the Laurence Shane Grundy, including its address, specialty, and other relevant information, were last refreshed on 2016-03-08.

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