Provider Demographics
NPI:1649582172
Name:GRANADA, DANIEL FRANCISCO (LMT)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:FRANCISCO
Last Name:GRANADA
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 NE 12TH AVE
Mailing Address - Street 2:MEADOWBROOK TOWERS CONDO 'C' APT 107
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-4533
Mailing Address - Country:US
Mailing Address - Phone:954-937-9399
Mailing Address - Fax:305-652-3339
Practice Address - Street 1:20334 NW 2ND AVE
Practice Address - Street 2:MANDELL CHIROPRACTIC CENTRE
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33169-2503
Practice Address - Country:US
Practice Address - Phone:305-654-9100
Practice Address - Fax:305-652-3339
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-13
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist