Grandin Family Practice LLC

NPI #1902098296 in Grandin, Florida

Provider Information

NPI Number
1902098296
Entity Type
Organization
Organization Name
Grandin Family Practice LLC
Primary Specialty
General Practice
Enumeration Date
Aug 10, 2007
Last Updated
Aug 10, 2007

Practice Location

Address
1326 SR 100
State
Florida
ZIP Code
32138-0129
Phone
(386) 659-2104

Authorized Official

Name
ANITA LENAS
Title
OWNER/OPERATOR
Phone
(386) 659-2104

Specialties & Taxonomy Codes

Specialty
General Practice

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