ELVIS GRANDIC MD PA NPI 1124379706

NPI Information

  • NPI: 1124379706
  • Provider Name: ELVIS GRANDIC MD PA
  • Classification: Orthopaedic Surgery - 207XS0114X
  • Specialization: Adult Reconstructive Orthopaedic Surgery
  • Entity Type: Organization
  • Address: 7744 DAWSON CT
    LAKE WORTH, FL
    ZIP 33467
  • Phone: (561) 715-3638

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NPI Details

ELVIS GRANDIC MD PA is an adult reconstructive orthopaedic surgery orthopaedic surgery in Lake Worth, FL. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. ELVIS GRANDIC MD PA NPI is 1124379706. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7744 DAWSON CT
LAKE WORTH, FL
ZIP 33467-719
Phone: (561) 715-3638

The provider's authorized official is Elvis Grandic .
The authorized official title is Director and has the following contact phone number (561) 715-3638.

The enumeration date for this NPI number is 9/24/2012 and was last updated on 9/24/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryME102652FLORIDAYes

What is NPI?

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This page was last updated on: 11/21/2025

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