Individual
FEDERICO GRANDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Contact information
Practice address
650 SE INDIAN ST STE 2, STUART, FL 34997-5565
(772) 510-5900
(772) 209-6231
Mailing address
650 SE INDIAN ST STE 2, STUART, FL 34997-5565
(772) 510-5900
(772) 209-6231
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN14859
FL
Other
Enumeration date
08/24/2006
Last updated
08/29/2022
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