Individual
MINDY SUE GRALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, PHD
Contact information
Practice address
1805 SE 16TH AVE, SUITE 1202, OCALA, FL 34471-4672
(352) 732-8630
(352) 867-7895
Mailing address
1805 SE 16TH AVE, SUITE 1202, OCALA, FL 34471-4672
(352) 732-8630
(352) 867-7895
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP3168872
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3084086-00
—
FL
05
—
344510743A
—
GA
Enumeration date
04/18/2007
Last updated
05/19/2011
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