Healthcare Provider Details

I. General information

NPI: 1851920938
Provider Name (Legal Business Name): EVAN P GRABOIS DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2020
Last Update Date: 08/04/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 KANE CONCOURSE STE 504
BAY HARBOR ISLANDS FL
33154-2043
US

IV. Provider business mailing address

1111 KANE CONCOURSE STE 504
BAY HARBOR ISLANDS FL
33154-2043
US

V. Phone/Fax

Practice location:
  • Phone: 645-215-2600
  • Fax: 645-215-3200
Mailing address:
  • Phone: 645-215-2600
  • Fax: 645-215-3200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberOS20109
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: