Individual
NICHOLAS GLENN RASMUSSEN GRABAVOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6500 W NEWBERRY RD, GAINESVILLE, FL 32605-4309
(815) 931-2241
Mailing address
2801 NW 23RD BLVD APT B10, GAINESVILLE, FL 32605-5910
(815) 931-2241
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20222
FL
Other
Enumeration date
03/20/2019
Last updated
08/16/2023
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