GRANT DISICK MD PA
Urology at Central Park Blvd, Boca Raton, FL

License number
Florida ME101748
Category
Radiology
Type
Urology
Owner
Name: DR. GRANT I DISICK MD
Title: PRESIDENT
Phone: (561) 487-5506
Address
Address
9970 Central Park Blvd N SUITE 207, Boca Raton, FL 33428
National Provider ID: 1427368471
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about GRANT DISICK MD PA at bizstanding.com

Grant Disick, M.D., PA

11745 Preservation Ln, Boca Raton, FL 33498

Industry:
Medical Doctor's Office
Registration:
Jun 11, 2010
State ID:
P10000049926
Business type:
Domestic for Profit Corporation
President:
Grant Disick (President)

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