Grana, Gustavo

Grana, Gustavo is an individual health care provider with primary practice located at 1400 N Us Highway 441 Ste 930 , The Villages FL 32159-6812. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Grana, Gustavo can be contacted via phone (352) 750-2108.

Contact Information

Primary practice address
1400 N Us Highway 441 Ste 930 The Villages FL 32159-6812
Phone: (352) 750-2108
Fax: (352) 750-1836
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X ME63891 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME63891 Florida

Profile Details

NPI number 1710959747
LBN Legal business name Grana, Gustavo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Jan 24th, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710959747 NPPES
Florida MEDICAID 251888100

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