Individual
GRACE GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(407) 649-6907
(407) 481-2035
Mailing address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(407) 649-6907
(407) 481-2035
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9228482
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013843200
—
FL
01
—
ARNP9228482
MEDICAL LICENSE
FL
Enumeration date
11/16/2007
Last updated
11/15/2016
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