Individual provider · Type 1 NPI

Grayson Tran Punzalan, DO

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

NPI number 1659170140 Active

Practice location

1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543

Call (863) 687-1100 Map

Mailing address

2517 Nestlebrook Trl
Virginia Beach, VA 23456-8298

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 1659170140

Grayson Tran Punzalan, DO's National Provider Identifier is 1659170140, issued on Mar 10, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lakeland, FL. The record was last updated on Mar 29, 2026.