Individual
EVA M GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
602 S HOWARD AVE, TAMPA, FL 33606-2413
(813) 253-2113
(907) 377-1969
Mailing address
602 S HOWARD AVE, TAMPA, FL 33606-2413
(813) 253-2113
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02004277A
IN
207Q00000X
Family Medicine Physician
OS16087
FL
Other
Enumeration date
10/05/2011
Last updated
02/23/2021
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