Grant, Omar Cordell

Grant, Omar Cordell is an individual health care provider with primary practice located at 8130 Lakewood Main St Ste 103 , Lakewood Ranch FL 34202-5068. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Grant, Omar Cordell can be contacted via phone (941) 499-2700.

Contact Information

Primary practice address
8130 Lakewood Main St Ste 103 Lakewood Ranch FL 34202-5068
Phone: (941) 499-2700
Fax: (941) 487-0474
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9107410 Florida

Profile Details

NPI number 1831522374
LBN Legal business name Grant, Omar Cordell
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2013
Last updated Mar 18th, 2021 - 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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