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Individual

DR. EVAN CLARK GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
20601 OLD CUTLER RD, CUTLER BAY, FL 33189-2441
(305) 251-3800
(512) 628-3314
Mailing address
1776 WOODSTEAD CT STE 208, THE WOODLANDS, TX 77380-1480
(877) 749-7428
(512) 628-3314

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME 127585
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
113875200
FL
Enumeration date
03/23/2012
Last updated
11/05/2025
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