Individual
AMY IDA GRAINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7550 43RD ST N, PINELLAS PARK, FL 33781-3601
(727) 824-8181
Mailing address
14100 58TH ST N, CLEARWATER, FL 33760-9900
(727) 824-8181
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA911014233
FL
Other
Enumeration date
09/27/2021
Last updated
09/11/2025
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