Organization
ERICK A GRANA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERICK A GRANA M.D. (OWNER)
(813) 935-1284
Entity
Organization
Contact information
Practice address
8011 N HIMES AVE, STE 2, TAMPA, FL 33614-2700
(813) 935-1284
Mailing address
8011 N HIMES AVE, STE 2, TAMPA, FL 33614-2700
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
ME0066670
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00479230900
—
FL
Enumeration date
12/18/2012
Last updated
12/18/2012
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