Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Michael Granello

Individual provider Family Medicine Physician · NPI 1679327944

Andrew Michael Granello is a Nurse Practitioner in Daytona Beach, Florida. Qualified in 2023, 3 years ago. Practices with Conviva Medical Center Management, LLC, a 562-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2024
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Practice location Address checks out

1104 Beville Rd
Daytona Beach, FL 32114-5797
Phone: (386) 760-8116
Fax: (888) 804-6503
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence APRN11031962 (FL)

Record details

NPI number1679327944
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 15, 2024
Last updated in NPPESFebruary 13, 2026
Certification dateFebruary 13, 2026
Mailing address6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Conviva Medical Center Management, Llc — 562 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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