Organization
ROLAND GRACIA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROLAND GRACIA MD (PRESIDENT)
(305) 562-2150
Entity
Organization
Contact information
Practice address
1111 CRANDON BLVD APT A1004, KEY BISCAYNE, FL 33149-2618
(305) 562-2150
Mailing address
1111 CRANDON BLVD, A-1004, KEY BISCAYNE, FL 33149-2745
(305) 562-2150
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME34075
FL
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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