Organization
ELVIS GRANDIC MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELVIS GRANDIC MD (DIRECTOR)
(561) 715-3638
Entity
Organization
Contact information
Practice address
7744 DAWSON CT, LAKE WORTH, FL 33467-7719
(561) 715-3638
Mailing address
7744 DAWSON CT, LAKE WORTH, FL 33467-7719
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
ME102652
FL
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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