Individual
GRACE ANDRADE
Active
Individual
GRACE ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
PAT9117921
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9117921
FL
Other
Enumeration date
08/21/2023
Last updated
12/05/2023
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