Individual
DR. CECILIA GRANDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7000 SW 62ND AVE STE 400, SOUTH MIAMI, FL 33143-4717
(305) 856-1461
(305) 250-5216
Mailing address
9905 SW 68TH CT, PINECREST, FL 33156-3050
(305) 856-1461
(305) 662-5884
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
ME71900
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259082400
—
FL
Enumeration date
07/24/2006
Last updated
03/03/2020
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