Organization
LILIANE GRAND'BOIS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LILIANE GRAND'BOIS M.D. (PRESIDENT/DIRECTOR)
(305) 245-3260
Entity
Organization
Contact information
Practice address
151 NW 11TH ST, SUITE # E-204, HOMESTEAD, FL 33030-4360
(305) 245-3260
(786) 335-1050
Mailing address
151 NW 11TH ST, SUITE # E-204, HOMESTEAD, FL 33030-4360
(305) 245-3260
(786) 335-1050
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME55284
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253720600
—
FL
Enumeration date
10/04/2006
Last updated
07/25/2013
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