Organization
MYRLE R GRATE CHARTERED
Active
Other names
North Florida Ear Nose & Throat
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MYRLE R GRATE JR. MD (CEO)
(850) 878-2165
Entity
Organization
Contact information
Practice address
1871 PROFESSIONAL PARK CIR, TALLAHASSEE, FL 32308-4506
(850) 878-2165
(850) 878-5348
Mailing address
PO BOX 13808, TALLAHASSEE, FL 32317-3808
(850) 878-2165
(850) 878-5348
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME14452
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057665400
—
FL
Enumeration date
02/09/2011
Last updated
02/10/2011
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