Individual
MR. GRANT ALEXANDER HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD, CSSD
Contact information
Practice address
1 BUCCANEER PL, TAMPA, FL 33607-5701
(813) 387-6375
Mailing address
1 BUCCANEER PL, TAMPA, FL 33607-5701
(239) 825-9549
Taxonomy
Speciality
Code
Description
License number
State
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
Primary
86058578
OH
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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