Individual provider · Type 1 NPI

Amy Ida Grainger, PA-C

Medical Physician Assistant · Pinellas Park, FL

NPI number 1689345803 Active

Practice location

7550 43rd St N
Pinellas Park, FL 33781-3601

Mailing address

14100 58th St N
Clearwater, FL 33760-9900

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA911014233 (FL)

Medical Physician Assistant: Definition to come...

24 other providers at this address

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About NPI 1689345803

Amy Ida Grainger, PA-C's National Provider Identifier is 1689345803, issued on Sep 27, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Pinellas Park, FL. The record was last updated on Sep 11, 2025.