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Organization

VINCENT L. GRANT MD PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JAN GRANT RN (OFFICE MANAGER)
(239) 368-0095
Entity
Organization

Contact information

Practice address
1530 LEE BLVD, SUITE 2350, LEHIGH ACRES, FL 33936-4893
(239) 368-0095
(239) 369-0085
Mailing address
1530 LEE BLVD, SUITE 2350, LEHIGH ACRES, FL 33936-4893
(239) 368-0095
(239) 369-0085

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME48804
FL

Other

Enumeration date
07/07/2008
Last updated
04/27/2010
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