MEDICARE: ERLEY GRINAN LOBAINA

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
1	106S00000X	Behavior Technician

Other Identifiers

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

General Provider Information

NPI Number	:	1356073985
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERLEY GRINAN LOBAINA

Provider Business Mailing Address
First Line	:	2721 NE 6TH LN
Second Line	:
City	:	WILTON MANORS
State	:	FL
Zip	:	33334-2507
Country	:	US
Telephone Number	:	954-275-5447
Fax Number	:

Provider Business Practice Location Address
First Line	:	2721 NE 6TH LN
Second Line	:
City	:	WILTON MANORS
State	:	FL
Zip	:	33334-2507
Country	:	US
Telephone Number	:	954-275-5447
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2022
Last Update Date	:	06/30/2022

Similar Medicare Providers

1689624801 — TOTAL HEALTH CARE PHYSICIANS
Practice Location Address:

2509 N ANDREWS AVE
WILTON MANORS, FL
33311-2507

Practice Phone: 954-537-2004
Practice Fax: 954-616-0106

1083953822 — MR. KEVIN MARTUSCELLO R.PH.
Practice Location Address:

9 ERINN CT
WILTON, NY
12831-2507

Practice Phone: 518-871-1722
Practice Fax:

1700837044 — DR. KIMBERLEE A COLEMAN MD
Practice Location Address:

2625 NE 14TH AVE APT 100
WILTON MANORS, FL
33334-4395

Practice Phone: 512-809-3365
Practice Fax:

1366496929 — KELLI FURTON OTR/L
Practice Location Address:

400 NE 30TH ST
WILTON MANORS, FL
33334-2053

Practice Phone: 954-564-7885
Practice Fax:

1235176488 — KIDS R KIDS THERAPY SERVICES, INC.
Practice Location Address:

400 NE 30TH ST
WILTON MANORS, FL
33334-2053

Practice Phone: 954-564-7885
Practice Fax: 954-564-1175

1043238397 — MR. RICK GUNSALLUS LMHC
Practice Location Address:

3001 NE 4TH AVE
WILTON MANORS, FL
33334-2047

Practice Phone: 954-568-5444
Practice Fax:

Directions to “ ERLEY GRINAN LOBAINA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.