Medlock, Grant

Medlock, Grant is an sole proprietor health care provider with primary practice located at 2498 Lynn Lake Cir S , Saint Petersburg FL 33712-6117. He recently has only one registered license in Agencies / Home Health, which is considered as his primary health care specialty. Medlock, Grant can be contacted via phone (913) 553-9394.

Contact Information

Primary practice address
2498 Lynn Lake Cir S Saint Petersburg FL 33712-6117
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X Florida

Profile Details

NPI number 1003391145
LBN Legal business name Medlock, Grant
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2018
Last updated Sep 25th, 2018 - about 8 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.

Request for update

Popular Providers