Organization
GRANDE MANAGEMENT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL MONTIEL (OWNER)
(971) 336-4392
Entity
Organization
Contact information
Practice address
5901 W LINEBAUGH AVE, TAMPA, FL 33624-5097
(971) 336-4392
Mailing address
4238 PLAYER CIR, ORLANDO, FL 32808-2212
(971) 336-4392
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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