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Organization
TRANSFORMATIONAL LIFE CONSULTING MEDICAL PLLC
Active
Organization
TRANSFORMATIONAL LIFE CONSULTING MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPA GRANDON MD (OWNER/MEDICAL DIRECTOR)
(850) 296-5091
Entity
Organization
Contact information
Practice address
2940 E ELEANA LN, GILBERT, AZ 85298-5776
(850) 296-5091
Mailing address
1400 VILLAGE SQUARE BLVD # 3-85340, TALLAHASSEE, FL 32312-1250
(850) 296-5091
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
NULL
207K00000X
Allergy & Immunology Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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