MRS. SONIA CECILIA GRANNUM


Address: 1611 Nw 12th Ave, Miami, FL 33136-1005
Phone: 3055856602

MRS. SONIA CECILIA GRANNUM (NPI# 1346261203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346261203
Entity Type Individual
Full Name MRS. SONIA CECILIA GRANNUM
Credential ARNP
Practice Address 1611 Nw 12th Ave
Miami
FL 33136-1005
Mailing Address 18950 Sw 12th St
Pembroke Pines
FL 33029-6019
Practice Telephone 3055856602
Practice Fax Number 3055850037
Mailing Telephone 9544370720
Mailing Fax Number 9544339372
Enumeration Date 2006-07-23
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WX0200X Registered Nurse
Specialization: Oncology
ARNP966912 FL Nursing Service Providers

Office Location

Street Address 1611 NW 12TH AVE
City MIAMI
State FL
Zip Code 33136-1005

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740286251 Karen Chitty Emergency Medicine 1611 Nw 12th Ave, Miami, FL 33136-1005 2005-06-21
1558968263 Natalie Dinger Nurse Practitioner 1611 Nw 12th Ave, Miami, FL 33136-1096 2020-10-06
1306452057 Ryan M Bukhari Dentist 1611 Nw 12th Ave, Miami, FL 33136-1096 2020-09-18
1467068155 Hussien Touny Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1096 2020-09-18
1912512310 Clementina Aurora Cabrera Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1005 2020-09-11
1184237265 Kencya Toussaint Nurse Practitioner 1611 Nw 12th Ave, Miami, FL 33136-1096 2020-08-28
1568075976 Manuel Molina Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1005 2020-08-25
1063025468 Carlos Federico Moral Ortega Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1096 2020-08-25
1770195919 Ezekiel Oluwasayo Ijaopo Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1005 2020-08-19
1568070258 Virosh Dharmadasa Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1005 2020-07-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548875685 Agustina Dirocco Registered Nurse 1611 Ne 12th Ave, Miami, FL 33136 2020-09-15
1093338451 Krizia Amy Vinck Clinical Neuropsychologist 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 2020-05-20
1992327761 Jorge Luis Cardenas Alvarez Student in an Organized Health Care Education/Training Program 1611 Nw 12 Avenue Central Room 600-d, Miami, FL 33136 2020-05-14
1104447036 Denver Steven Pinto Student in an Organized Health Care Education/Training Program 1611 Nw 12 Avenue Jackson Memorial Hospital, West Wing 279 Emergency Radiology, Miami, FL 33136 2020-05-01
1992325724 Dimple Kumar Chanamolu Student in an Organized Health Care Education/Training Program Deptarment of Urology University of Miama Miller School, Crb 1120 Nw 14th Street Suite 1551c, Miami, FL 33136 2020-04-22
1578100996 Alex Aziz Al Khoury Internal Medicine 1120 Nw 14th St. Suite 1112, Miami, FL 33136 2019-12-04
1437708872 Marie Jeanjean Genetic Counselor, MS 1501 Nw 10th Avenue, Brb 334 (m860), Miami, FL 33136 2019-09-09
1710543905 Tal Friehmann Student in an Organized Health Care Education/Training Program Jackson Memorial Hospital, Breast Imaging Dep, 1611 Nw 12 Avenue, Miami, FL 33136 2019-05-14
1285297895 Omar Munoz Student in an Organized Health Care Education/Training Program 1611 Nw 12th Av., Psychiatry Department, Miami, FL 33136 2019-04-18
1902369648 Seyedeh Haleh Amirian Student in an Organized Health Care Education/Training Program 1611 12th Avenue, Holtz Buiding, East Tower, 2169, Miami, FL 33136 2019-04-10
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Taxonomy Information

Taxonomy Code 163WX0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Oncology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972118404 Carol Annette Covarrubias Registered Nurse 12845 Sw 211th Ter, Miami, FL 33177-7441 2020-09-11
1205357076 Bertha Corujo Registered Nurse 935 Nw 15th Ave, Miami, FL 33125-3625 2017-07-03
1679923965 Jose A Lugo Toledo Registered Nurse 3611 Sw 87th Ave, Miami, FL 33165-4307 2016-06-16
1699063388 Dacris Practitioner Sercices Inc Registered Nurse 10651 N Kendall Dr, Ste 117, Miami, FL 33176-1569 2011-07-14
1487968954 Marie H. Jean-louis Registered Nurse 1475 Nw 12th Ave, Miami, FL 33136-1002 2010-07-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548661820 Dawn Anne Albright O'leary Registered Nurse 19715 Sw 87th Pl, Cutler Bay, FL 33157-8929 2014-09-05
1871929091 Camine Sainjoie Mathurin Registered Nurse 50 Ne 132nd Ter, North Miami, FL 33161-4565 2013-09-19
1609982917 Renee Lynn Genther Registered Nurse 2850 Se 3rd Ct, Ocala, FL 34471-0440 2006-08-21
1881660462 Carly Melinda Pabon Registered Nurse 425 S Parsons Ave, Brandon, FL 33511-5289 2006-02-24
1891792388 Linda H Stearns Registered Nurse 303 Pinellas St, Suite 330, Clearwater, FL 33756-3809 2005-06-30
1104461128 Brenna Marie Mistretta Registered Nurse 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 2019-11-13
1720629892 Stephanie Martinez Registered Nurse 3501 Johnson St, Hollywood, FL 33021-5421 2019-09-30
1407378441 Cydney Ashley Warfield Registered Nurse 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 2017-07-12
1841614237 Ma Antonietta Orlang Registered Nurse 8931 Colonial Center Dr, Suite 302, Fort Myers, FL 33905-7809 2014-02-06
1063735926 Ivette Elizabeth Boler Registered Nurse 1840 Mease Dr, Suite 309, Safety Harbor, FL 34695-6602 2010-03-08
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Competitor

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City MIAMI
Zip Code 33136

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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