Individual
MR. JOSEPH GRANT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 RIVERPLACE BLVD STE 105, JACKSONVILLE, FL 32207-9092
(904) 401-2032
(904) 204-8696
Mailing address
1200 RIVERPLACE BLVD STE 105, JACKSONVILLE, FL 32207-9092
(904) 401-2032
(904) 204-8696
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
FL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
L21000489498
FL
Other
Enumeration date
12/06/2021
Last updated
06/12/2026
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