DR. ELISE MICHELLE MCCORMACK-GRANJA


Address: 7101 Sw 99th Ave, Suite 108, Miami, FL 33173-4661
Phone: 3056303300

DR. ELISE MICHELLE MCCORMACK-GRANJA (NPI# 1417190752) 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) 1417190752
Entity Type Individual
Full Name DR. ELISE MICHELLE MCCORMACK-GRANJA
Other Name DR. ELISE MICHELLE MCCORMACK
Credential M.D.
Practice Address 7101 Sw 99th Ave
Suite 108
Miami
FL 33173-4661
Practice Telephone 3056303300
Enumeration Date 2009-04-16
Last Update Date 2013-11-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 116563 FL Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine MD13250 RI Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine MD038046 DC Allopathic & Osteopathic Physicians

Office Location

Street Address 7101 SW 99TH AVE
SUITE 108
City MIAMI
State FL
Zip Code 33173-4661

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093702136 Alberto Bruno Alonso General Practice 7101 Sw 99th Ave, Suite 109-a, Miami, FL 33173-4661 2005-10-04
1871031930 Jaime Llobet Md Pa Internal Medicine 7101 Sw 99th Ave, Miami, FL 33173-4661 2017-02-08
1942630306 Vital Imaging Diagnostic Centers LLC Clinic/Center 7101 Sw 99th Ave, Suite 109, Miami, FL 33173 2013-11-22
1740551670 Virtual Imaging Sleep Care, Corp Clinic/Center 7101 Sw 99th Ave, Suite 106, Miami, FL 33173-4661 2012-01-24
1477863819 Mark P. Caruso M.d.p.a. Specialist 7101 Sw 99th Ave, Suite 108, Miami, FL 33173-4661 2010-10-19
1003063900 Barbara Hassanzadeh Nurse Practitioner 7101 Sw 99th Ave, Ste 108, Miami, FL 33173 2008-08-21
1013178839 Alberto B Alonso Md Pa General Practice 7101 Sw 99th Ave, Suite 109-a, Miami, FL 33173-4661 2008-06-24
1205920097 Gabriel Novoa Jr Md Pa Family Medicine 7101 Sw 99th Ave, Ste 109-a, Miami, FL 33173-4661 2006-10-03
1770501967 Gabriel Novoa Jr. Internal Medicine 7101 Sw 99th Ave, Suite 109-a, Miami, FL 33173-4661 2006-07-17
1275561680 Jaime P Llobet Internal Medicine 7101 Sw 99th Ave, Suite 109, Miami, FL 33173-4661 2006-06-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598374613 Derrick George Dyer Behavioral Analyst 11025 Sw 84t St. Cottage 8, Miami, FL 33173 2020-07-24
1306405477 Erich Soto Del Valle Dentist 7125 Sw 111th Ct, Miami, FL 33173 2019-06-11
1356819247 Berenice E De La Mota Dietitian, Registered 7500 Sw 87 Avenue # 200, Miami, FL 33173 2018-11-08
1386146850 Yordanka Arango Assistant Behavior Analyst 11415 Sw 59 Terr, Miami, FL 33173 2018-03-01
1851806632 Juliana Orozco Acupuncturist 9240 Sunset Dr Ste 229, Miami, FL 33173 2017-12-03
1447760749 Irfan Saeed Nurse Practitioner 8401 Sw 107 Avenue, Apt 335e, Miami, FL 33173 2017-10-02
1619491339 Malciel Bonilla Assisted Living Facility 9830 Sw 80 Dr, Miami, FL 33173 2017-08-03
1144744467 Yoislan Daniel Daniel Behavioral Analyst 10261 Sw 72 St Suite C104, Miami, FL 33173 2017-07-28
1083137061 Berkis Serrat Esnobol Behavior Technician 8961 Sw 72nd St Apt 121, Miami, FL 33173 2017-07-20
1215478276 Leonel Diaz Rapado Behavior Technician 8015 Sw 107 Ave, Apt 315, Miami, FL 33173 2017-03-10
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235756297 Floridian Physicians Internal Medicine 4960 Sw 72nd Ave Ste 206, Miami, FL 33155-5549 2020-06-25
1437773918 Elite Med Center Corp Internal Medicine 13155 Sw 134th St Ste 221, Miami, FL 33186-4489 2020-06-01
1841832359 Haytham Elgammal Internal Medicine 7031 Sw 62nd, Miami, FL 33143 2019-10-16
1538714282 Centrum Medical Holdings, LLC Internal Medicine 7600 Nw 19th St Ste 400, Miami, FL 33126-1219 2019-08-08
1659933182 South Florida Healthcare Practitioners Internal Medicine 1040 Biscayne Blvd Apt 1506, Miami, FL 33132-1725 2019-07-04
1134781263 Surgiclear Internal Medicine 1011 Ives Dairy Rd Ste 107, Miami, FL 33179-2536 2019-06-28
1811557523 Luis Rene Velazquez Internal Medicine 8520 Sw 149th Ave Apt 1015, Miami, FL 33193-1446 2019-06-14
1881252088 Miguel A Mujica-baella Md Pa Internal Medicine 15590 Sw 42nd Ln, Miami, FL 33185-4209 2019-06-03
1699249177 Munia and Associates LLC Internal Medicine 9195 Sw 72nd St Ste 210, Miami, FL 33173-3488 2019-01-17
1174094361 I.vizion Internal Medicine 7341 Nw 32nd Ave, Miami, FL 33147-5801 2018-12-16
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Competitor

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City MIAMI
Zip Code 33173

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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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