Grant, Evan Clark

Grant, Evan Clark is an individual health care provider with primary practice located at 20601 Old Cutler Rd , Cutler Bay FL 33189-2441. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Grant, Evan Clark can be contacted via phone (305) 251-3800.

Contact Information

Primary practice address
20601 Old Cutler Rd Cutler Bay FL 33189-2441
Phone: (305) 251-3800
Fax: (512) 628-3314
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X ME 127585 Florida

Profile Details

NPI number 1851667802
LBN Legal business name Grant, Evan Clark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2012
Last updated Nov 5th, 2025 - about last year

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 1851667802 NPPES
Florida MEDICAID 113875200

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