Miami Dade Physical Medicine

NPI #1659770055 in North Miami Beach, Florida

Provider Information

NPI Number: 1659770055
Entity Type: Organization
Organization Name: Miami Dade Physical Medicine
Primary Specialty: Chiropractor
Enumeration Date: Aug 21, 2014
Last Updated: Aug 21, 2014

Practice Location

Address: 331 NE 167TH ST
City: North Miami Beach
State: Florida
ZIP Code: 33162-2304
Phone: (305) 947-6300

Authorized Official

Name: DR. RYAN A. GRAND, D.C.
Title: PRESIDENT
Phone: (561) 729-7092

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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