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Organization
MEDICAL APPLICATIONS AND SERVICES
Active
Organization
MEDICAL APPLICATIONS AND SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA GRAINGER DNP, ARNP (NURSE PRACTITIONER)
(321) 427-5584
Entity
Organization
Contact information
Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(321) 434-7000
Mailing address
1080 E RIVER OAKS DR, INDIALANTIC, FL 32903-4643
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17020287618
—
FL
Enumeration date
03/22/2018
Last updated
03/22/2018
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