Individual
DR. EDUARDO ELISEO GRENET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1493 SE 17TH ST, FORT LAUDERDALE, FL 33316-1709
(954) 525-7595
Mailing address
4608 NE 23RD AVE, FORT LAUDERDALE, FL 33308-4719
(954) 771-4703
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0058435
FL
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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