Individual
JOACHIM W GRANZOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4268 OLDFIELD CROSSING DR STE 303, JACKSONVILLE, FL 32223-7899
(904) 325-9386
(310) 882-6260
Mailing address
10700 BEACH BLVD UNIT 16428, JACKSONVILLE, FL 32245-8018
(904) 325-9386
(904) 650-2911
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
95447
GA
2086S0122X
Plastic and Reconstructive Surgery Physician
A67284
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
ME85458
FL
Other
Enumeration date
08/05/2006
Last updated
11/05/2025
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