Individual
ELEANOR GRANT PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
10910 PEMBROKE RD, MIRAMAR, FL 33025-1706
(954) 276-5552
(954) 443-4737
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-5710
(954) 276-5603
(954) 985-7074
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS16985
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112163200
—
FL
Enumeration date
07/23/2012
Last updated
07/16/2024
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