Grall, Mindy Sue

Grall, Mindy Sue is an individual health care provider with primary practice located at 1805 Se 16Th Ave Suite 1202, Ocala FL 34471-4672. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Grall, Mindy Sue can be contacted via phone (352) 732-8630.

Contact Information

Primary practice address
1805 Se 16Th Ave Suite 1202 Ocala FL 34471-4672
Phone: (352) 732-8630
Fax: (352) 867-7895
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP3168872 Florida

Profile Details

NPI number 1487870317
LBN Legal business name Grall, Mindy Sue
Credentials ARNP, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2007
Last updated May 19th, 2011 - about 14 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 1487870317 NPPES
Florida MEDICAID 3084086-00
Florida MEDICAID 344510743A

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