Grandic, Elvis L

Grandic, Elvis L is an individual health care provider with primary practice located at 2828 S Seacrest Blvd Suite 216, Boynton Beach FL 33435-7944. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, which is considered as his primary health care specialty. Grandic, Elvis L can be contacted via phone (561) 395-2117.

Contact Information

Primary practice address
2828 S Seacrest Blvd Suite 216 Boynton Beach FL 33435-7944
Phone: (561) 395-2117
Fax: (561) 395-4551
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X ME102652 Florida

Profile Details

NPI number 1144438219
LBN Legal business name Grandic, Elvis L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2007
Last updated Aug 28th, 2012 - about 14 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 1144438219 NPPES
Florida MEDICAID 000188900

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