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Individual

AMY LEE GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3 SHIRCLIFF WAY STE 200, JACKSONVILLE, FL 32204-4785
(904) 384-3699
(904) 384-8529
Mailing address
PO BOX 25317, TAMPA, FL 33622-5317
(813) 286-0033
(813) 282-1806

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3229
FL

Other

Enumeration date
12/19/2007
Last updated
02/27/2019
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