Individual
DR. CARLOS TEOFILO GRANADOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4716 WEST FLAGLER ST., MIAMI, FL 33134-1452
(305) 774-6550
(305) 774-0499
Mailing address
4716 WEST FLAGLER ST., MIAMI, FL 33134-1452
(305) 774-6550
(305) 774-0499
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME67716
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
377311601
—
FL
Enumeration date
06/09/2006
Last updated
06/16/2011
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