De Grandis, Eileen C
De Grandis, Eileen C is an individual health care provider with primary practice located at 670 Glades Rd Ste 100 , Boca Raton FL 33431-6462. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is her primary health care specialty. De Grandis, Eileen C can be contacted via phone (561) 955-3500.Contact Information
Primary practice address
670 Glades Rd Ste 100
Boca Raton FL 33431-6462
Phone: (561) 955-3500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 52974 | Minnesota |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | ME127513 | Florida |
Profile Details
| NPI number | 1336379478 |
|---|---|
| LBN Legal business name | De Grandis, Eileen C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 23rd, 2009 |
| Last updated | Jun 3rd, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336379478 | NPPES |
| Iowa | MEDICAID | ENROLLED | |
| Iowa | MEDICAID | ENROLLED |
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