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Organization
GRANT MEDICAL SERVICE, INC
Active
Organization
GRANT MEDICAL SERVICE, INC
Active
Other names
Grant Medical Service, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE EVADNEY GRANT ARNP (CHAIRPERSON)
(863) 398-8152
Entity
Organization
Contact information
Practice address
5337 N SOCRUM LOOP RD, SUITE 146, LAKELAND, FL 33809-4256
(863) 859-7355
Mailing address
5337 N SOCRUM LOOP RD, SUITE 146, LAKELAND, FL 33809-4256
(863) 859-7355
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1899642
FL
Other
Enumeration date
09/05/2010
Last updated
02/08/2012
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