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Organization
ROBERT A GRAND OD PA
Active
Organization
ROBERT A GRAND OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT A GRAND O.D (OPTOMETRIST)
(305) 233-2040
Entity
Organization
Contact information
Practice address
8353 SW 124TH ST, SUITE 106, MIAMI, FL 33156-5851
(305) 233-2040
(305) 233-2052
Mailing address
8353 SW 124TH ST, SUITE 106, MIAMI, FL 33156-5851
(305) 233-2040
(305) 233-2052
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1222
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078590300
—
FL
Enumeration date
02/06/2007
Last updated
11/19/2010
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