| Grace Medical Clinic, Llc | |
|
2350 W Oakland Park Blvd Ste 900 Oakland Park FL 33311-1409 | |
| (954) 840-8640 | |
| (954) 840-8641 |
| Full Name | Grace Medical Clinic, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2350 W Oakland Park Blvd Ste 900, Oakland Park, Florida |
| Authorized Official Name and Position | Anite Nelson (MANAGER) |
| Authorized Official Contact | 9548408640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Medical Clinic, Llc 2350 W Oakland Park Blvd Ste 900 Oakland Park FL 33311-1409 Ph: (954) 840-8640 | Grace Medical Clinic, Llc 2350 W Oakland Park Blvd Ste 900 Oakland Park FL 33311-1409 Ph: (954) 840-8640 |
| NPI Number | 1609327949 |
|---|---|
| Provider Enumeration Date | 10/21/2016 |
| Last Update Date | 10/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609327949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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