Individual
MISS GRACE RENNALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
6601 SW 62ND AVE, SOUTH MIAMI, FL 33143-3300
(786) 466-6900
Mailing address
6601 SW 62ND AVE, SOUTH MIAMI, FL 33143-3300
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
9182186
FL
Other
Enumeration date
05/16/2011
Last updated
10/17/2013
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