Individual
ROBERT HARGRAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNIM, R. EPT.
Contact information
Practice address
1452 N US HIGHWAY 1, STE 103, ORMOND BEACH, FL 32174-6638
(386) 672-1250
Mailing address
1452 N US HIGHWAY 1, STE 103, ORMOND BEACH, FL 32174-6638
(386) 672-1250
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
05/22/2014
Last updated
05/22/2014
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