Individual
FABIANO LIMA DAS GRACAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8900 VAN WYCK EXPY, RICHMOND HILL, NY 11418-2832
(904) 422-8717
Mailing address
8900 VAN WYCK EXPY, RICHMOND HILL, NY 11418-2832
(904) 422-8717
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME161553
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2018
Last updated
05/27/2023
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