Individual provider · Type 1 NPI

Grant Harold Hammons Iv, MD

Student in an Organized Health Care Education/Training Program · Fort Lauderdale, FL

NPI number 1356189377 Active

Practice location

1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510

Mailing address

340 W 10th St
Indianapolis, IN 46202-3082

Other practice locations

  • 201 E Sample Rd, Deerfield Beach, FL 33064-3502 · (954) 941-8300

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1356189377

Grant Harold Hammons Iv, MD's National Provider Identifier is 1356189377, issued on Jul 15, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Mar 31, 2026.