person
Dr. Graciany Miranda Grajales, MD
General Practice Physician in Lecanto, Florida
NPI 1174514319

Graciany Miranda Grajales is a General Practice Physician based in Lecanto, FL. Graciany Miranda Grajales practices in Lecanto, FL and has the professional credentials of MD. The NPI Number for Graciany Miranda Grajales is 1174514319 and holds a License No. 15543 (Florida).

The current practice location address for Graciany Miranda Grajales is 2804 W Marc Knighton Ct, Lecanto, FL and can be reached out via phone at 352-746-8000 and via fax at 352-746-8001.

Location: 2804 W Marc Knighton Ct, Lecanto, FL, 34461-9019
person
Provider Profile Details
NPI Number
1174514319
Provider Name
Graciany Miranda Grajales
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2804 W Marc Knighton Ct, Lecanto, FL, 34461-9019
Phone Number
352-746-8000
Fax Number
352-746-8001
Provider Enumeration Date
11/04/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7310343 05 PR
778245 01 PR HUMANA GOLD HMO
DM154559 01 PR ASSMCA
institution
Provider Business Practice Location Address Details
Address
2804 W Marc Knighton Ct
City
State
Zip
34461-9019
Phone Number
352-746-8000
Fax Number
352-746-8001
person
Provider Business Mailing Address Details
Address
2804 W Marc Knighton Ct
City
State
Zip
34461-9019
Phone Number
352-746-8000
Fax Number
352-746-8001
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
15543 ()
Definition
Definition to come...
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