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Organization
GRANDA'S CORP
Active
Organization
GRANDA'S CORP
Active
Other names
COASTAL INTEGRATED HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
HAILYS LEZCANO VENTO APRN (OWNER)
(305) 790-3082
Entity
Organization
Contact information
Practice address
1108 KANE CONCOURSE STE 225, BAY HARBOR ISLANDS, FL 33154-2069
(305) 790-3082
Mailing address
9200 BAY HARBOR TER APT 2B, BAY HARBOR ISLANDS, FL 33154-2734
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/12/2026
Last updated
08/12/2026
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