Grant, Sandra
Grant, Sandra is an individual health care provider with primary practice located at 318 Park North Ct , Winter Park FL 32789-2553. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Grant, Sandra can be contacted via phone (407) 928-1404.Contact Information
Primary practice address
318 Park North Ct
Winter Park FL 32789-2553
Phone: (407) 928-1404
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ARNP 2861772 | Florida |
Profile Details
| NPI number | 1073784054 |
|---|---|
| LBN Legal business name | Grant, Sandra |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 18th, 2008 |
| Last updated | Aug 31st, 2010 - about 16 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 | 1073784054 | NPPES |
| Other | G1891A | MEDICARE ID CERTIFICATE |
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