Organization
GRANDEUR MEDICAL OFFICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE PHILLIPS (PRESIDENT)
(786) 554-8616
Entity
Organization
Contact information
Practice address
6517 TAFT ST, SUITE 204, HOLLYWOOD, FL 33024-4048
(786) 554-8616
Mailing address
6517 TAFT ST, SUITE 204, HOLLYWOOD, FL 33024-4048
(786) 554-8616
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/20/2006
Last updated
08/22/2020
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