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Individual

MATEUSZ J GRACA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6000 N FEDERAL HWY, FT LAUDERDALE, FL 33308-2226
(954) 771-2551
(954) 492-3830
Mailing address
6000 N FEDERAL HWY, FT LAUDERDALE, FL 33308-2226
(954) 771-2551
(954) 492-3830

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME161251
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME161251
FL
208VP0000X
Pain Medicine Physician
ME161251
FL
208VP0014X
Interventional Pain Medicine Physician
Primary
ME161251
FL

Other

Enumeration date
06/26/2019
Last updated
11/06/2024
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