Individual
DR. EDMUND G GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14014 N 46TH ST STE C, TAMPA, FL 33613-4238
(813) 971-8811
(813) 355-5054
Mailing address
38135 MARKET SQUARE DR, ZEPHYRHILLS, FL 33542-7505
(525) 670-1883
(813) 355-5101
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME0037350
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068668900
—
FL
01
—
30561
BCBS
FL
Enumeration date
07/19/2006
Last updated
03/12/2025
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