# ROBERT A GRAND OD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275672917
- **Authorized official:** DR. ROBERT A GRAND O.D (OPTOMETRIST)
- **Authorized official phone:** (305) 233-2040

## Contact information

- **Practice address:** 8353 SW 124TH ST, SUITE 106, MIAMI, FL 33156-5851
- **Practice address phone:** (305) 233-2040
- **Practice address fax:** (305) 233-2052
- **Mailing address:** 8353 SW 124TH ST, SUITE 106, MIAMI, FL 33156-5851
- **Mailing address phone:** (305) 233-2040
- **Mailing address fax:** (305) 233-2052

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC1222 | FL | Yes |

## Other

- **Enumeration date:** 02/06/2007
- **Last updated:** 11/19/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 078590300 | — | FL |