Provider Demographics
NPI:1114337250
Name:GRAND HEALTH CARE CONSULTING LLC
Entity Type:Organization
Organization Name:GRAND HEALTH CARE CONSULTING LLC
Other - Org Name:GRAND HEALTH INSTITUTE NEUROLOGY
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGING EMPLOYEE
Authorized Official - Prefix:
Authorized Official - First Name:A
Authorized Official - Middle Name:
Authorized Official - Last Name:JABBARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-728-0505
Mailing Address - Street 1:1717 N BAYSHORE DR
Mailing Address - Street 2:SUITE 217
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33132-1180
Mailing Address - Country:US
Mailing Address - Phone:305-728-0505
Mailing Address - Fax:305-728-0515
Practice Address - Street 1:1717 N BAYSHORE DR
Practice Address - Street 2:SUITE 217
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33132-1180
Practice Address - Country:US
Practice Address - Phone:305-728-0505
Practice Address - Fax:305-728-0515
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GRAND HEALTH CARE CONSULTING LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-04-29
Last Update Date:2014-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty