Individual
BERTRAM GRAPIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2552 BAY POINTE DR, WESTON, FL 33327-1421
(954) 888-4654
Mailing address
2552 BAY POINTE DR, WESTON, FL 33327-1421
(954) 888-4654
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME11159
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME11159
FLORIDA MEDICAL LICENSE
FL
Enumeration date
11/04/2013
Last updated
11/04/2013
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