Grant Medlock
NPI #1003391145 in Saint Petersburg, Florida
Provider Information
- NPI Number
- 1003391145
- Entity Type
- Individual
- Name
- Grant Medlock
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Home Health
- Enumeration Date
- Sep 25, 2018
- Last Updated
- Sep 25, 2018
Practice Location
- Address
- 2498 LYNN LAKE CIR S
- City
- Saint Petersburg
- State
- Florida
- ZIP Code
- 33712-6117
- Phone
- (913) 553-9394
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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