Individual
ROBERT GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
500 UNIVERSITY BLVD STE 211, JUPITER, FL 33458-2775
(561) 323-6555
(561) 323-6556
Mailing address
500 UNIVERSITY BLVD STE 211, JUPITER, FL 33458-2775
(561) 323-6555
(561) 323-6556
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
5101007437
MI
207RP1001X
Pulmonary Disease Physician
Primary
OS4194
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2892103
—
MI
Enumeration date
05/01/2006
Last updated
06/15/2022
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