Dr. Massimo R Gramanzini, O.D.
Optometrist in Plantation, FL. Individual provider (NPI-1).
NPI number1003968751
StatusActive
Last updated in NPPESOct 7, 2008
Details
- NPI
- 1003968751
- Entity type
- Individual (NPI-1)
- Name
- Dr. Massimo R Gramanzini
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 16, 2007
- Last updated
- Oct 7, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | FL3116 | FL | Yes |
| 152WC0802X | Optometrist, Corneal and Contact Management | FL3116 | FL |
Practice location
12220 W Sunrise BlvdPlantation, FL 33323-2233
Phone 954-423-8444
Mailing address
12220 W Sunrise BlvdPlantation, FL 33323-2233
Phone 954-423-8444
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