Individual
DR. GRANT ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
317 N DALE MABRY HWY, TAMPA, FL 33609-1238
(317) 919-6339
Mailing address
6711 S WALL ST, TAMPA, FL 33616-1440
(317) 919-6339
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH13041
FL
Other
Enumeration date
01/16/2020
Last updated
01/16/2020
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