Provider Demographics
NPI:1730187139
Name:GRABOVE, DONALD E (MD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:E
Last Name:GRABOVE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3601 SW 2ND AVE
Mailing Address - Street 2:SUITE Q
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-2803
Mailing Address - Country:US
Mailing Address - Phone:352-367-0100
Mailing Address - Fax:352-367-1330
Practice Address - Street 1:3601 SW 2ND AVE
Practice Address - Street 2:SUITE Q
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-2803
Practice Address - Country:US
Practice Address - Phone:352-367-0100
Practice Address - Fax:352-367-1330
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-08
Last Update Date:2010-10-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME62726207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL18631Medicare ID - Type Unspecified
FLE63444Medicare UPIN