Individual
MRS. SONIA CECILIA GRANNUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-6602
(305) 585-0037
Mailing address
18950 SW 12TH ST, PEMBROKE PINES, FL 33029-6019
(954) 437-0720
(954) 433-9372
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
Primary
ARNP966912
FL
Other
Enumeration date
07/23/2006
Last updated
07/09/2007
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