GRANT DISICK MD PA

BOCA RATON, FL
NPI1427368471
Entity TypeOrganization
Authorized ContactGRANT I DISICK
President
561-487-5506
Organization Subpart ?No
Primary Taxonomy208800000X Urology
(Licence: FL  ME101748)
Enumeration Date2010-10-08
Last Update Date2011-01-11
Business Address
GRANT DISICK MD PA
9970 CENTRAL PARK BLVD N SUITE 207
BOCA RATON, FL 33428-2231
Phone number: 561-487-5506
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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