Individual provider · Type 1 NPI

Grant I. Disick, MD

Urology Physician · Boca Raton, FL

NPI number 1639236797 Active

Practice location

9970 Central Park Blvd N, Suite 207
Boca Raton, FL 33428-2231

Call (561) 487-5506 Map

Fax (561) 487-9261

Mailing address

2234 Colonial Blvd, Attn: Payer Contracting & Relations Dept.
Fort Myers, FL 33907-1412

Specialties and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000XME101748 (FL)

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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About NPI 1639236797

Grant I. Disick, MD's National Provider Identifier is 1639236797, issued on Jan 1, 2007. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Boca Raton, FL. The record was last updated on Mar 16, 2017.