George, Grace
George, Grace is an individual health care provider with primary practice located at 1222 S Orange Ave , Orlando FL 32806-1215. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. George, Grace can be contacted via phone (407) 649-6907.Contact Information
Primary practice address
1222 S Orange Ave
Orlando FL 32806-1215
Phone: (407) 649-6907
Fax: (407) 481-2035
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | ARNP9228482 | Florida |
Profile Details
NPI number | 1144401290 |
---|---|
LBN Legal business name | George, Grace |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 16th, 2007 |
Last updated | Nov 15th, 2016 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1144401290 | NPPES |
Florida | MEDICAID | 013843200 | |
Florida | Other | ARNP9228482 |
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