GRANT THOMAS

MOUNT DORA, FL
NPI1619755816
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: FL  APRN11027438)
Enumeration Date2023-09-19
Last Update Date2025-04-29
Business Address
GRANT THOMAS APRN
2110 N DONNELLY ST
MOUNT DORA, FL 32757-6966
Phone number: 352-729-0923
Mailing Address
GRANT THOMAS APRN
PO BOX 237224
COCOA, FL 32923-7224
Phone number: