Organization
ERICK A GRANA M.D. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICK A GRANA M.D. (PRESIDENT/OWNER)
(813) 935-1284
Entity
Organization
Contact information
Practice address
8011 N HIMES AVE, SUITE 2, TAMPA, FL 33614-2700
(813) 935-1284
(813) 935-3773
Mailing address
8011 N HIMES AVE, SUITE 2, TAMPA, FL 33614-2700
(813) 935-1284
(813) 935-3773
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ME66670
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379108400
—
FL
Enumeration date
06/05/2008
Last updated
06/05/2008
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