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Individual

DR. CAROL R GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD LLC

Contact information

Practice address
10743 NARCOOSSEE RD, STE# A8-208, ORLANDO, FL 32832-6944
(407) 592-1550
Mailing address
10743 NARCOOSSEE RD, STE# A8-208, ORLANDO, FL 32832-6944
(407) 592-1550

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME 071569
FL
2083X0100X
Occupational Medicine Physician
ME71569
FL

Other

Enumeration date
12/27/2006
Last updated
03/17/2010
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