Organization
JOSEPH P. GRACE, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA CARREIRA (CHIEF FINANCIAL OFFICER)
(850) 763-4364
Entity
Organization
Contact information
Practice address
1827 HARRISON AVE, PANAMA CITY, FL 32405-7605
(850) 769-3574
Mailing address
1827 HARRISON AVE, PANAMA CITY, FL 32405-7605
(850) 769-3574
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME36477
FL
Other
Enumeration date
06/30/2006
Last updated
08/22/2020
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