MEDICARE: ALAN GRAFF MD

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	44473	FL

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	:	1669471090
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALAN GRAFF MD

Provider Business Mailing Address
First Line	:	3241 EXECUTIVE WAY
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33025-3931
Country	:	US
Telephone Number	:	954-985-6500
Fax Number	:	954-967-8419

Provider Business Practice Location Address
First Line	:	3061 E COMMERCIAL BLVD
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308
Country	:	US
Telephone Number	:	954-491-0031
Fax Number	:	954-491-2620

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

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	08/30/2018

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