Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174514319 Individual Practitioner Male Practitioner

Dr. Graciany Miranda Grajales , MD

General Practice • Lecanto, FL

Professional Overview & Biography Verified Profile Summary

Dr. Graciany Miranda Grajales, MD is a registered healthcare professional specializing in General Practice in Lecanto, FL. Practice services are available at 2804 W MARC KNIGHTON CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2804 W Marc Knighton Ct
Suite A

Lecanto, FL 344619019

Telephone 3527468000
Fax 3527468001
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Lecanto, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Lecanto, FL (2490 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License PR 15543

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
7310343 (PR)
Commercial Insurance / Payer ID Humana Gold Hmo
778245 (PR)
Commercial Insurance / Payer ID Assmca
DM154559 (PR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Dr. Marta Babol , MD

Internal Medicine

NPI 1033221304

Doctor of Medicine (M.D.)

NPI 1083712665

Doctor of Osteopathic Medicine (D.O.)

Deborah Odle , RN

Registered Nurse

NPI 1174711394

Registered Nurse

Christina Kelley , LCSW

Social Worker - Clinical

NPI 1194402933

Licensed Clinical Social Worker

NPI 1194821611

Doctor of Medicine (M.D.)

Dr. Lee Howell , MD

Family Medicine

NPI 1245230044

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active April 24, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 24, 2017

Registered at 2804 W MARC KNIGHTON CT, SUITE A, LECANTO, FL 344619019 (Tel: 3527468000)

📍
Updated Business Mailing Address April 24, 2017

Registered at 2804 W MARC KNIGHTON CT, SUITE A, LECANTO, FL 344619019 (Tel: 3527468000)

👤
Provider Name / Credentials Updated April 24, 2017

Recorded as GRACIANY MIRANDA GRAJALES, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2017

General Practice (License #15543 in PR)

NPI Profile Active June 11, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location June 11, 2013

Registered at 2804 W MARC KNIGHTON CT, SUITE A, LECANTO, FL 344616300 (Tel: 3527468000)

📍
Updated Business Mailing Address June 11, 2013

Registered at 1122 HARMONY LN, CLERMONT, FL 347119019 (Tel: 7874324299)

👤
Provider Name / Credentials Updated June 11, 2013

Recorded as GRACIANY MIRANDA GRAJALES, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2013

General Practice (License #15543 in PR)

🟢
Initial NPI Registration & Enumeration November 04, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174514319
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 04, 2005
Last Update: March 07, 2023
Sole Proprietor: Yes

Mailing Address

2804 W Marc Knighton Ct, Suite A

Lecanto, FL 344619019

Phone: 3527468000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.