George, Grace

George, Grace is an individual health care provider with primary practice located at 1222 S Orange Ave , Orlando FL 32806-1215. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. George, Grace can be contacted via phone (407) 649-6907.

Contact Information

Primary practice address
1222 S Orange Ave Orlando FL 32806-1215
Phone: (407) 649-6907
Fax: (407) 481-2035
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP9228482 Florida

Profile Details

NPI number 1144401290
LBN Legal business name George, Grace
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2007
Last updated Nov 15th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144401290 NPPES
Florida MEDICAID 013843200
Florida Other ARNP9228482

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