Individual
ALEXANDER GRANDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2150 S DIXIE HWY, MIAMI, FL 33133-2462
(305) 860-6383
Mailing address
5730 SW 94TH CT, MIAMI, FL 33173-1515
(305) 491-2752
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT35328
FL
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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