Grant, Stewart A

Grant, Stewart A is an sole proprietor health care provider with primary practice located at 203 Kingsway Rd Suite A, Brandon FL 33510-4679. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Grant, Stewart A can be contacted via phone (813) 655-5106.

Contact Information

Primary practice address
203 Kingsway Rd Suite A Brandon FL 33510-4679
Phone: (813) 655-5106
Fax: (813) 655-4460
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME72163 Florida

Profile Details

NPI number 1497772412
LBN Legal business name Grant, Stewart A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2006
Last updated Nov 22nd, 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 1497772412 NPPES
Florida Other 221083 WELLCARE
Florida MEDICAID 252632800 WELLCARE
Florida Other 41515 WELLCARE
Florida MEDICAID 268531100 WELLCARE
Florida Other 10392101 WELLCARE
Florida Other 209902 WELLCARE
Florida Other 078366 WELLCARE
Florida Other 2321757005 WELLCARE
Florida Other 132800 WELLCARE
Florida Other 7557019 WELLCARE

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