Organization · Type 2 NPI
Grandin Family Practice LLC
General Practice Physician · Grandin, FL
NPI number
1902098296
Active
Practice location
1326 Sr 100
Grandin, FL 32138-0129
Fax (386) 659-2196
Mailing address
PO Box 380129
Grandin, FL 32138-0129
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 0065809 (FL) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
2 other providers at this address
About NPI 1902098296
Grandin Family Practice LLC's National Provider Identifier is 1902098296, issued on Aug 10, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Grandin, FL. The record was last updated on Aug 10, 2007.