De Grandis, Eileen C

De Grandis, Eileen C is an individual health care provider with primary practice located at 670 Glades Rd Ste 100 , Boca Raton FL 33431-6462. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is her primary health care specialty. De Grandis, Eileen C can be contacted via phone (561) 955-3500.

Contact Information

Primary practice address
670 Glades Rd Ste 100 Boca Raton FL 33431-6462
Phone: (561) 955-3500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 52974 Minnesota
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X ME127513 Florida

Profile Details

NPI number 1336379478
LBN Legal business name De Grandis, Eileen C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2009
Last updated Jun 3rd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336379478 NPPES
Iowa MEDICAID ENROLLED
Iowa MEDICAID ENROLLED

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