Grant-Spence, Cristal Suzanne

Grant-Spence, Cristal Suzanne is an individual health care provider with primary practice located at 9121 Nw 17Th St , Plantation FL 33322-4338. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Grant-Spence, Cristal Suzanne can be contacted via phone (954) 304-0121.

Contact Information

Primary practice address
9121 Nw 17Th St Plantation FL 33322-4338
Phone: (954) 304-0121
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 65 006287 New York
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO 3361 Florida

Profile Details

NPI number 1639332513
LBN Legal business name Grant-Spence, Cristal Suzanne
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2008
Last updated Jul 21st, 2022 - about 4 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 1639332513 NPPES
Florida Other BE916Z MEDICARE PTAN

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