Grace Medical Clinic, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GRACE MEDICAL CLINIC, LLC

Practice address

2350 W Oakland Park Blvd Ste 900
Oakland Park, FL 33311-1409

Phone

(954) 840-8640

Fax

(954) 840-8641

NPI assigned

Oct 21, 2016

Last updated

Oct 21, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anite Nelson

Title

Manager

Phone

(954) 840-8640

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1609327949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 W OAKLAND PARK BLVD STE 900",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333111409",
            "telephone_number": "954-840-8640",
            "fax_number": "954-840-8641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 W OAKLAND PARK BLVD STE 900",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333111409",
            "telephone_number": "954-840-8640",
            "fax_number": "954-840-8641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "ANITE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-840-8640"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Gorobetz, L.M.T.
• Kavir Gosine, ARNP
• Jessica Gousse
• Grace for All LLC
• Grace Medical Clinic
• Lynnette L Granger, M.S CCC-SLP
• Gravity 21 Fort Lauderdale, LLC (G21 Fitness, Physical Therapy and Wellness Center)
• Darlene Gray, CCC-SLP
• Jhonnarri Gray
• William H Grayson, MCAP, CIP, CAI

• Family Medicine Physician in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.