Individual
ELIZABETH GRANADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14293 SW 145TH PL, MIAMI, FL 33186-6787
(305) 794-9146
Mailing address
14293 SW 145TH PL, MIAMI, FL 33186-6787
(305) 794-9146
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/17/2020
Last updated
06/19/2021
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