MEDICARE: DR. EVAN P GRABOIS DO

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	208000000X	Pediatrics Physician	OS20109	FL

General Provider Information

NPI Number	:	1851920938
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EVAN P GRABOIS DO

Provider Business Mailing Address
First Line	:	1111 KANE CONCOURSE STE 504
Second Line	:
City	:	BAY HARBOR ISLANDS
State	:	FL
Zip	:	33154-2043
Country	:	US
Telephone Number	:	645-215-2600
Fax Number	:	645-215-3200

Provider Business Practice Location Address
First Line	:	1111 KANE CONCOURSE STE 504
Second Line	:
City	:	BAY HARBOR ISLANDS
State	:	FL
Zip	:	33154-2043
Country	:	US
Telephone Number	:	645-215-2600
Fax Number	:	645-215-3200

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

Provider Enumeration Date	:	04/02/2020
Last Update Date	:	08/04/2025

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Directions to “ DR. EVAN P GRABOIS DO” Practice Location

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