Individual
ANGELA D GRUBB
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5040 US HIGHWAY 98 N, LAKELAND, FL 33809-0511
(863) 859-3511
(863) 858-9641
Mailing address
PO BOX 1838, LAKELAND, FL 33802-1838
(863) 687-0931
(863) 687-4021
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP2529382
FL
Other
Enumeration date
02/07/2006
Last updated
07/08/2007
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