Organization
CAROL GRANT MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL R GRANT MD (OWNER)
(407) 592-1550
Entity
Organization
Contact information
Practice address
10743 NARCOOSSEE RD, ORLANDO, FL 32832-6944
(407) 592-1550
(407) 704-3323
Mailing address
10743 NARCOOSSEE RD, ORLANDO, FL 32832-6944
(407) 592-1550
(407) 704-3323
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/24/2010
Last updated
06/29/2010
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