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1427368471
GRANT DISICK MD PA
BOCA RATON, FL
NPI
1427368471
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Entity Type
Organization
Authorized Contact
GRANT I DISICK
President
561-487-5506
Organization Subpart ?
No
Primary Taxonomy
208800000X Urology
(Licence: FL ME101748)
Enumeration Date
2010-10-08
Last Update Date
2011-01-11
Business Address
GRANT DISICK MD PA
9970 CENTRAL PARK BLVD N SUITE 207
BOCA RATON, FL 33428-2231
Phone number: 561-487-5506
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Mailing Address
GRANT DISICK MD PA
9970 CENTRAL PARK BLVD N SUITE 207
BOCA RATON, FL 33428-2231
Phone number: 561-487-5506
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