person
Grant I Disick, MD
Urology Physician in Boca Raton, Florida
NPI 1639236797

Grant I Disick is a Urology Physician based in Fort Myers, FL. Grant I Disick practices in Boca Raton, FL and has the professional credentials of MD. The NPI Number for Grant I Disick is 1639236797 and holds a License No. ME101748 (Florida).

The current practice location address for Grant I Disick is 9970 Central Park Blvd N, Boca Raton, FL and can be reached out via phone at 561-487-5506 and via fax at 561-487-9261.

Location: 9970 Central Park Blvd N, Boca Raton, FL, 33907-1412
person
Provider Profile Details
NPI Number
1639236797
Provider Name
Grant I Disick
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
9970 Central Park Blvd N, Boca Raton, FL, 33907-1412
Phone Number
561-487-5506
Fax Number
561-487-9261
Provider Enumeration Date
01/01/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P998495 01 FL FREEDOM
P939616 01 FL OPTIMUM
11999 01 FL DIMENSION
58335 01 FL BCBS
973866 01 FL WELLCARE
9010497 01 FL CIGNA
1069247 01 FL CAREPLUS
7583920 01 FL AETNA
319558 01 FL AVMED
58335 01 FL BLUE CROSS OF FL
institution
Provider Business Practice Location Address Details
Address
9970 Central Park Blvd N
City
State
Zip
33428-2231
Phone Number
561-487-5506
Fax Number
561-487-9261
person
Provider Business Mailing Address Details
Address
9970 Central Park Blvd N
City
State
Zip
33428-2231
Phone Number
561-487-5506
Fax Number
561-487-9261
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
License No.
ME101748 (Florida)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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