Grant, David Edward
Grant, David Edward is an individual health care provider with primary practice located at 12470 Telecom Dr , Temple Terrace FL 33637-0904. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Grant, David Edward can be contacted via phone (813) 871-8079.Contact Information
Primary practice address
12470 Telecom Dr
Temple Terrace FL 33637-0904
Phone: (813) 871-8079
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 9469490 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 3007436 | Kentucky |
Profile Details
| NPI number | 1811251234 |
|---|---|
| LBN Legal business name | Grant, David Edward |
| Credentials | MSN, APRN, NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2012 |
| Last updated | Dec 1st, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811251234 | NPPES |
| Florida | MEDICAID | 1811251234 |
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