Individual
MRS. AMANDA RAVELI GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
2950 CLEVELAND CLINIC BLVD, WESTON, FL 33331-3609
(954) 659-5000
Mailing address
12368 NW 14TH CT, PEMBROKE PINES, FL 33026-3800
(954) 790-7910
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11018976
FL
Other
Enumeration date
11/22/2022
Last updated
04/18/2023
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