Grant Disick Md Pa

LBN: Grant Disick Md Pa
Grant Disick Md Pa is an health care organization with primary practice located at 9970 Central Park Blvd N Suite 207, Boca Raton FL 33428-2231. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Grant Disick Md Pa can be contacted via phone (561) 487-5506, or through Disick, Grant I via phone (561) 487-5506.

Contact Information

Primary practice address
9970 Central Park Blvd N Suite 207 Boca Raton FL 33428-2231
Phone: (561) 487-5506
Fax: (561) 487-9261
Website:
Map and Directions
Authorized official contact:
Name: Disick, Grant I Doctor of Medicine (MD)
Phone: (561) 487-5506

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X ME101748 Florida

Profile Details

NPI number 1427368471
LBN Legal business name Grant Disick Md Pa
DBA Doing business as
Authorized official Disick, Grant I Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 8th, 2010
Last updated Jan 11th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427368471 NPPES
Florida Other ME101748 LICENSE
Florida Other 11763982 LICENSE

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