Charles C Grant, MD

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

ME12612 Issued in FL

Practice address

4806 N Orange Blossom TRL
Orlando, FL 32810-1605

Phone

(407) 206-3326

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medero Medical of Orange, LLC

  • Occupational Medicine Physician
  • Ocala, FL
  • NPI 1144467507
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255345286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 SW 10TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344742725",
            "telephone_number": "352-629-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4806 N ORANGE BLOSSOM TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328101605",
            "telephone_number": "407-206-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "CHARLES",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "FL",
            "license": "ME12612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Michelle Granger, MS, CCC-SLP
• Lindsey Leigh Granger, ARNP
• Kaye-Ann Grant-Taylor, RD
• Arlene W Grant, PHARMACIST
• Carol R Grant, MD LLC
• D'Andra Grant, RBT
• Dahlia J Grant
• Ed'Ron Rulechia Grant, CD
• Garett Grant, MD
• Latrisha Catrell Grant, LMT

• Occupational Medicine Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Occupational Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.