Individual
DINAH DEAL GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10605 US HWY 301, DADE CITY, FL 33525
(352) 518-2000
(352) 567-5455
Mailing address
PO BOX 232, DADE CITY, FL 33526-0232
(352) 518-2000
(352) 567-5455
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN1099252
FL
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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