PETER BLAKE GRANGAARD

SARASOTA, FL
NPI1356886733
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MN  12277)
Enumeration Date2016-12-21
Last Update Date2025-10-15
Business Address
PETER BLAKE GRANGAARD PA
1945 VERSAILLES ST
SARASOTA, FL 34239-6900
Phone number: 941-365-0770
Mailing Address
PETER BLAKE GRANGAARD PA
1945 VERSAILLES ST
SARASOTA, FL 34239-6900
Phone number: 941-365-0770