Individual
DR. ELVIS L GRANDIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2828 S SEACREST BLVD, SUITE 216, BOYNTON BEACH, FL 33435-7944
(561) 395-2117
(561) 395-4551
Mailing address
2828 S SEACREST BLVD, SUITE 216, BOYNTON BEACH, FL 33435-7944
(561) 395-2117
(561) 395-4551
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
ME102652
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000188900
—
FL
Enumeration date
05/20/2007
Last updated
08/28/2012
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