Individual
ANDREW MICHAEL GRANELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1104 BEVILLE RD, DAYTONA BEACH, FL 32114-5797
(386) 760-8116
(888) 804-6503
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
(305) 500-2000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
APRN11031962
FL
Other
Enumeration date
04/15/2024
Last updated
02/13/2026
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