Individual
DR. SANDRA ELIZABETH GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1775 W HIBISCUS BLVD, SUITE 215, MELBOURNE, FL 32901-2620
(321) 837-3820
(321) 837-3654
Mailing address
1775 W HIBISCUS BLVD, SUITE 215, MELBOURNE, FL 32901-2620
(321) 837-3820
(321) 837-3654
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME86879
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273546600
—
FL
Enumeration date
06/07/2006
Last updated
05/17/2016
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