Individual
JUSTINA J. GRANTHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1851 HAWTHORNE ST, SARASOTA, FL 34239-2945
(941) 365-0433
(941) 954-2064
Mailing address
PO BOX 5699, SARASOTA, FL 34277-5699
(941) 365-0433
(941) 954-2064
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP3186272
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306974500
—
FL
Enumeration date
09/21/2005
Last updated
08/06/2010
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