Provider Demographics
NPI:1366531535
Name:GRANATH, ALEKSANDRA (MD ,PHD)
Entity type:Individual
Prefix:DR
First Name:ALEKSANDRA
Middle Name:
Last Name:GRANATH
Suffix:
Gender:F
Credentials:MD ,PHD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 3322
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34106-3322
Mailing Address - Country:US
Mailing Address - Phone:239-430-5522
Mailing Address - Fax:239-430-5523
Practice Address - Street 1:5495 BRYSON DR STE 423
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-0920
Practice Address - Country:US
Practice Address - Phone:239-430-5522
Practice Address - Fax:239-430-5523
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2024-02-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME 108748207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology