Individual
GRANT CARLYLE FERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4050 W BROWARD BLVD, PLANTATION, FL 33317-3767
(561) 549-9090
(561) 549-9091
Mailing address
1600 YORKSHIRE TRCE SE, NORTH CANTON, OH 44709-4856
(419) 602-2869
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.008676RX
OH
363A00000X
Physician Assistant
Primary
—
FL
363AM0700X
Medical Physician Assistant
—
FL
363AS0400X
Surgical Physician Assistant
—
FL
Other
Enumeration date
05/10/2022
Last updated
03/04/2024
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