Grant, Madeline

Grant, Madeline is an sole proprietor health care provider with primary practice located at 2501 N Orange Ave Ste 181 , Orlando FL 32804-4675. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Grant, Madeline can be contacted via phone (407) 303-2040.

Contact Information

Primary practice address
2501 N Orange Ave Ste 181 Orlando FL 32804-4675
Phone: (407) 303-2040
Fax: (407) 303-2040
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9116601 Florida

Profile Details

NPI number 1326763921
LBN Legal business name Grant, Madeline
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2022
Last updated May 15th, 2026 - about 5 months 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 1326763921 NPPES
Florida MEDICAID 115856800

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