Individual
MICHAEL S GRABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
685 PEACHWOOD DR, DELAND, FL 32720-0804
(386) 736-3463
Mailing address
12109 COUNTY ROAD 103, OXFORD, FL 34484-2951
(352) 205-8981
(352) 391-6498
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME0041242
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043326800
—
FL
01
—
1900419
UNITED HEALTHCARE
—
01
—
340016423
RR MEDICARE
—
01
—
64575
BLUE SHIELD
—
Enumeration date
05/11/2006
Last updated
02/05/2021
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