Individual
LIANA MARIE GRANTGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 767-3679
Mailing address
7525 PESCADOR PL, SEMINOLE, FL 33772-4937
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN9513320
FL
Other
Enumeration date
02/26/2026
Last updated
02/26/2026
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