Organization
GRACE MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREDO SAINT CHARLES (PARTNER)
(772) 361-3051
Entity
Organization
Contact information
Practice address
2300 W OAKLAND PARK BLVD, UNIT 900, OAKLAND PARK, FL 33311-1422
(772) 361-3051
Mailing address
2300 W OAKLAND PARK BLVD, UNIT 900, OAKLAND PARK, FL 33311-1422
(772) 361-3051
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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