Individual
DR. STEWART A GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME72163
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
078366
AETNA
FL
01
—
10392101
CITRUS
FL
01
—
132800
AETNA
FL
01
—
209902
AMERIGROUP
FL
01
—
221083
WELLCARE
FL
01
—
2321757005
CIGNA
FL
05
—
252632800
—
FL
05
—
268531100
—
FL
01
—
41515
BCBS
FL
01
—
7557019
AETNA
DC
Enumeration date
07/16/2006
Last updated
11/22/2011
Update your record
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