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Individual

DR. ERICK ANTONIO GRANA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2333 W HILLSBOROUGH AVE, SUITE 100, TAMPA, FL 33603-1052
(813) 872-4492
(813) 870-1502
Mailing address
2333 W HILLSBOROUGH AVE, SUITE 100, TAMPA, FL 33603-1052
(813) 872-4492
(813) 870-1502

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ME66670
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004792300
FL
Enumeration date
06/15/2006
Last updated
04/05/2016
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