Organization
K. GRANT MANSELL, D.O., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY GRANT MANSELL D.O. (PRESIDENT)
(561) 529-2625
Entity
Organization
Contact information
Practice address
3535 MILITARY TRL, SUITE 205, JUPITER, FL 33458-5009
(561) 529-2625
(561) 529-2651
Mailing address
3535 MILITARY TRL, SUITE 205, JUPITER, FL 33458-5009
(561) 529-2625
(561) 529-2651
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
OS9748
FL
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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