MEDICARE: DR. ROBERT GRANA M.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
1	207R00000X	Internal Medicine Physician	ME101367	FL
2	207RC0000X	Cardiovascular Disease Physician	101367	FL

General Provider Information

NPI Number	:	1528232279
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT GRANA M.D.

Provider Business Mailing Address
First Line	:	PO BOX 198054
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30384-8054
Country	:	US
Telephone Number	:	786-204-4201
Fax Number	:

Provider Business Practice Location Address
First Line	:	13101 S DIXIE HWY STE 420
Second Line	:
City	:	PINECREST
State	:	FL
Zip	:	33156-6530
Country	:	US
Telephone Number	:	786-204-4203
Fax Number	:	786-576-0404

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

Provider Enumeration Date	:	04/14/2008
Last Update Date	:	10/21/2024

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Directions to “ DR. ROBERT GRANA M.D.” Practice Location

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