Vincent L. Grant MD PLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME48804 Issued in FL

Legal business name

VINCENT L. GRANT MD PLC

Practice address

1530 Lee Blvd
Suite 2350
Lehigh Acres, FL 33936-4893

Phone

(239) 368-0095

Fax

(239) 369-0085

NPI assigned

Jul 7, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Jan Grant, RN

Title

Office Manager

Phone

(239) 368-0095

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272326400000",
    "number": "1467615740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 LEE BLVD",
            "address_2": "SUITE 2350",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339364893",
            "telephone_number": "239-368-0095",
            "fax_number": "239-369-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 LEE BLVD",
            "address_2": "SUITE 2350",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339364893",
            "telephone_number": "239-368-0095",
            "fax_number": "239-369-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT L. GRANT MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-07",
        "last_updated": "2010-04-27",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "239-368-0095",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME48804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Lehigh Acres, FL
• Providers in Lehigh Acres, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.