Individual
DR. CHARLES C GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4806 N ORANGE BLOSSOM TRL, ORLANDO, FL 32810-1605
(407) 206-3326
Mailing address
1109 SW 10TH ST, OCALA, FL 34474-2725
(352) 629-3433
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
ME12612
FL
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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