ROLAND GRACIA PA
Radiology at Crandon Blvd, Miami, FL

License number
Florida ME34075
Category
Radiology
Type
Diagnostic Radiology
Owner
Name: ROLAND GRACIA MD
Title: PRESIDENT
Phone: (305) 562-2150
Address
Address
1111 Crandon Blvd APT A1004, Miami, FL 33149
National Provider ID: 1013364207
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Roland Gracia, PA

Miami, FL

Registration:
Feb 21, 2011
Addresses:
781 Crandon Blvd, Miami, FL 33149
9506 S Red Rd, Miami, FL 33156
1111 Crandon Blvd, Miami, FL 33149
State ID:
P11000018178
Business type:
Domestic for Profit Corporation
Director, President:
Roland Gracia (Director, President)

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