Organization
GRANZOW MEDICAL LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY ASHLEY (PRACTICE MANAGER)
(904) 874-9709
Entity
Organization
Contact information
Practice address
4268 OLDFIELD CROSSING DR STE 303, JACKSONVILLE, FL 32223-7899
(904) 325-9386
(310) 882-6260
Mailing address
PO BOX 739471, DALLAS, TX 75373-9471
(904) 325-9386
(904) 650-2911
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
10/26/2022
Last updated
11/05/2025
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