Individual
MR. GUILLERMO ALFREDO GRANADOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1770 NE MIAMI GARDENS DR, MIAMI, FL 33179-5301
(305) 949-7990
(305) 949-3523
Mailing address
1770 NE MIAMI GARDENS DR, MIAMI, FL 33179-5301
(305) 949-7990
(305) 949-3523
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9103857
FL
Other
Enumeration date
04/25/2008
Last updated
04/25/2008
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