Individual
JUSTIN GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGPCNP-BC
Contact information
Practice address
601 E ROLLINS ST, TRI-COUNTY NEUROLOGY, ORLANDO, FL 32803-1248
(407) 303-6729
(407) 628-2037
Mailing address
1685 LEE RD STE 210, WINTER PARK, FL 32789-2235
(407) 303-6729
(407) 628-2037
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9254942
FL
Other
Enumeration date
07/06/2015
Last updated
08/19/2015
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