Individual
DR. ROLAND MANUEL GRACIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 CRANDON BLVD, A1004, KEY BISCAYNE, FL 33149-2745
(305) 562-2150
Mailing address
1111 CRANDON BLVD, A1004, KEY BISCAYNE, FL 33149-2745
(305) 562-2150
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME34075
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261140600
—
FL
Enumeration date
06/25/2006
Last updated
12/30/2013
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