Individual
MERCY GRANDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3084 NE 41ST TER, HOMESTEAD, FL 33030-6619
(305) 245-8050
(305) 245-8059
Mailing address
900 S PINE ISLAND RD, SUITE 800, PLANTATION, FL 33324-3920
(305) 245-8050
(305) 245-8059
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP 9184215
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307126000
—
FL
Enumeration date
10/12/2005
Last updated
10/04/2013
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