Individual
DR. NIKOLAUS LEE GRAVENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
449 S 12TH ST UNIT 1003, TAMPA, FL 33602-5608
(352) 494-0288
Mailing address
2995 DREW ST, CLEARWATER, FL 33759-3012
(727) 315-7496
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME135719
FL
Other
Enumeration date
03/31/2014
Last updated
03/07/2024
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