Individual
DR. GRIGORIY LEONIDOVICH RAPOPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-6479
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-6479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME154113
FL
207RG0100X
Gastroenterology Physician
Primary
ME154113
FL
Other
Enumeration date
04/03/2015
Last updated
03/07/2025
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