Grant, Sandra Elizabeth
Grant, Sandra Elizabeth is an individual health care provider with primary practice located at 1775 W Hibiscus Blvd Suite 215, Melbourne FL 32901-2620. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Grant, Sandra Elizabeth can be contacted via phone (321) 837-3820.Contact Information
Primary practice address
1775 W Hibiscus Blvd Suite 215
Melbourne FL 32901-2620
Phone: (321) 837-3820
Fax: (321) 837-3654
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ME86879 | Florida |
Profile Details
| NPI number | 1144260100 |
|---|---|
| LBN Legal business name | Grant, Sandra Elizabeth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | May 17th, 2016 - about 9 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 | 1144260100 | NPPES |
| Florida | MEDICAID | 273546600 |
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