Individual
DR. ELISE MICHELLE MCCORMACK-GRANJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8940 N KENDALL DR STE 901E, MIAMI, FL 33176-2176
(786) 596-5007
(786) 533-9562
Mailing address
PO BOX 198054, ATLANTA, GA 30384-8054
(786) 596-5007
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD038046
DC
207R00000X
Internal Medicine Physician
MD13250
RI
207R00000X
Internal Medicine Physician
Primary
ME116563
FL
Other
Enumeration date
04/16/2009
Last updated
07/20/2022
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