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Individual

MS. EKATERINA GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
311 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2781
(386) 241-1020
(386) 241-1022
Mailing address
PO BOX 100108, GAINESVILLE, FL 32610-0108
(352) 265-0535
(352) 627-4173

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11011285
FL
363LF0000X
Family Nurse Practitioner
APRN11011285
FL

Other

Enumeration date
04/13/2021
Last updated
12/05/2025
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