Individual
MR. MATTHEW JOHN GRANELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
7305 N MILITARY TRL, RIVIERA BEACH, FL 33410-7417
(772) 972-8262
Mailing address
7305 N MILITARY TRL, RIVIERA BEACH, FL 33410-7417
(772) 972-8262
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
35832617
FL
Other
Enumeration date
03/10/2008
Last updated
03/10/2008
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