Provider Demographics
NPI:1730970369
Name:DENIS, GRAZIA JOSEE
Entity type:Individual
Prefix:
First Name:GRAZIA
Middle Name:JOSEE
Last Name:DENIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3641 W HILLSBORO BLVD APT F103
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-2076
Mailing Address - Country:US
Mailing Address - Phone:954-303-4584
Mailing Address - Fax:
Practice Address - Street 1:5130 LINTON BLVD STE G6
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-6597
Practice Address - Country:US
Practice Address - Phone:954-303-4584
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11038159363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily