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NPI Code Detail

MEDICARE: DR. RAHNA JUDITH GRINDAHL O.D.

MEDICARE:  DR. RAHNA JUDITH GRINDAHL  O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist3346FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689656415
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAHNA JUDITH GRINDAHL O.D.
Provider Business Mailing Address
First Line : 1447 HOLLYWOOD BLVD
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33020-5237
Country : US
Telephone Number : 954-829-9131
Fax Number :
Provider Business Practice Location Address
First Line : 599 SO. FEDERAL HWY.
Second Line :
City : DANIA BEACH
State : FL
Zip : 33004
Country : US
Telephone Number : 954-927-2020
Fax Number : 954-927-3418
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2005
Last Update Date : 09/22/2020

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Directions to “ DR. RAHNA JUDITH GRINDAHL O.D.” Practice Location

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