Jeffrey M Gran Psy D Pa | |
4302 W Broward Blvd Suite 800 Plantation FL 33317-3780 | |
(954) 893-7829 | |
(954) 893-7829 |
Full Name | Jeffrey M Gran Psy D Pa |
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Speciality | Clinical Neuropsychologist |
Location | 4302 W Broward Blvd, Plantation, Florida |
Authorized Official Name and Position | Jeffrey M. Gran (NEUROPSYCHOLOGIST) |
Authorized Official Contact | 9548937829 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jeffrey M Gran Psy D Pa 420 Sw 70th Ave Pembroke Pines FL 33023-1019 Ph: (954) 893-7829 | Jeffrey M Gran Psy D Pa 4302 W Broward Blvd Suite 800 Plantation FL 33317-3780 Ph: (954) 893-7829 |
NPI Number | 1225137300 |
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Provider Enumeration Date | 09/22/2006 |
Last Update Date | 11/27/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225137300 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103G00000X | Clinical Neuropsychologist | PY 5683 (Florida) | Primary |
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