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Organization

JEFFREY M. GRAN, PSY.D., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFREY M. GRAN PSY.D. (PRESIDENT)
(954) 893-7829
Entity
Organization

Contact information

Practice address
1050 NE 125TH ST, NORTH MIAMI, FL 33161-5805
(954) 558-2870
(954) 893-7829
Mailing address
420 SW 70TH AVE, PEMBROKE PINES, FL 33023-1019
(954) 893-7829
(954) 893-7829

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY 5683
FL

Other

Enumeration date
11/05/2007
Last updated
11/13/2007
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