Individual
DR. GRANDY B BARNARD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
809 N STONE ST, DELAND, FL 32720-3255
(386) 734-1824
(386) 738-7497
Mailing address
809 N STONE ST, DELAND, FL 32720-3255
(386) 734-1824
(386) 738-7497
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0024955
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024955
ME#
FL
01
—
4052215
AETNA
FL
01
—
622
FHC
FL
01
—
78588
BLUE CROSS
FL
Enumeration date
07/09/2006
Last updated
03/07/2023
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