| NPI | 1952618415 |
|---|---|
| Doing Business As | GRANT MEDICAL SERVICE, INC |
| Entity Type | Organization |
| Authorized Contact | YVONNE EVADNEY GRANT Chairperson 863-398-8152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 1899642) |
| Enumeration Date | 2010-09-05 |
| Last Update Date | 2012-02-08 |