Individual
TIMOTHY L GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3911 SW 67TH AVE, MIAMI, FL 33155-3710
(305) 665-5552
(305) 203-0617
Mailing address
PO BOX 160010, HIALEAH, FL 33016-0001
(786) 924-1311
(786) 924-1313
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
ME30640
FL
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
ME30640
FL
Other
Enumeration date
04/13/2006
Last updated
08/18/2023
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