Healthcare Provider Details

I. General information

NPI: 1629917596
Provider Name (Legal Business Name): GRAND HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3683 S MIAMI AVE STE 300
MIAMI FL
33133-4222
US

IV. Provider business mailing address

1717 N BAYSHORE DR STE 217
MIAMI FL
33132-1680
US

V. Phone/Fax

Practice location:
  • Phone: 305-728-0505
  • Fax: 305-728-0515
Mailing address:
  • Phone: 305-728-0505
  • Fax: 305-728-0515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JAMSHID JABBARI
Title or Position: DIRECTOR
Credential:
Phone: 305-728-0505