Individual
DONALD VERNON GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3428 GULF BREEZE PKWY, GULF BREEZE, FL 32563-1400
(850) 932-2655
Mailing address
8477 S SUNCOAST BLVD, HOMOSASSA, FL 34446-5028
(352) 382-1141
(352) 382-1146
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 20624
FL
Other
Enumeration date
04/01/2011
Last updated
04/01/2011
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