Individual
DEBORAH GRACIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3601 FEDERAL HWY, MIAMI, FL 33137-3795
(305) 576-6611
(305) 576-0008
Mailing address
3601 FEDERAL HWY, MIAMI, FL 33137-3795
(305) 576-6611
(305) 576-0008
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS8271
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17307W
MEDICARE
FL
05
—
265309500
—
FL
Enumeration date
02/21/2006
Last updated
02/19/2011
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