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Individual

DR. JONATHAN GRALNICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
150 NW 70TH AVE, SUITE #6, PLANTATION, FL 33317-2911
(954) 587-4245
(954) 587-9633
Mailing address
150 NW 70TH AVE, SUITE #6, PLANTATION, FL 33317-2911
(954) 587-4245
(954) 587-9633

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH5620
FL
111NN0400X
Neurology Chiropractor
Primary
CH5620
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
380177200
FL
Enumeration date
08/30/2006
Last updated
06/17/2010
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