Granthon, Justina J.

Granthon, Justina J. is an individual health care provider with primary practice located at 1851 Hawthorne St , Sarasota FL 34239-2945. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Granthon, Justina J. can be contacted via phone (941) 365-0433.

Contact Information

Primary practice address
1851 Hawthorne St Sarasota FL 34239-2945
Phone: (941) 365-0433
Fax: (941) 954-2064
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP3186272 Florida

Profile Details

NPI number 1194711556
LBN Legal business name Granthon, Justina J.
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Aug 6th, 2010 - about 15 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 1194711556 NPPES
Florida MEDICAID 306974500

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