Individual
GRANT ZACHARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
319 GREEN ACRES RD STE 101, FORT WALTON BEACH, FL 32547-1170
(850) 243-7681
(850) 243-0471
Mailing address
319 GREEN ACRES RD STE 101, FORT WALTON BEACH, FL 32547-1170
(850) 243-7681
(850) 243-0471
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME141088
FL
Other
Enumeration date
06/16/2016
Last updated
09/17/2019
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