Individual provider · Type 1 NPI

Ryan Peyton Grundig

Surgical Physician Assistant · Fort Lauderdale, FL

NPI number 1821704552 Active

Practice location

1995 E Oakland Park Blvd Ste 310
Fort Lauderdale, FL 33306-1138

Call (954) 791-6146 Map

Other practice locations

  • 111 E 210th St, Bronx, NY 10467-2401 · (718) 920-4321

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1821704552

Ryan Peyton Grundig's National Provider Identifier is 1821704552, issued on Jan 26, 2023. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Oct 15, 2025.