Edmund G Grant MD PA

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

ME0037350 Issued in FL

Legal business name

EDMUND G GRANT MD PA

Practice address

13801 Bruce B Downs Blvd
Suite 401
Tampa, FL 33613-3946

Phone

(813) 971-8811

Fax

(813) 971-6951

NPI assigned

May 19, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Edmund Guy Grant Jr., MD

Title

President

Phone

(813) 971-8811

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281312000000",
    "number": "1962721761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13801 BRUCE B DOWNS BLVD",
            "address_2": "SUITE 401",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336133946",
            "telephone_number": "813-971-8811",
            "fax_number": "813-971-6951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13801 BRUCE B DOWNS BLVD",
            "address_2": "SUITE 401",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336133946",
            "telephone_number": "813-971-8811",
            "fax_number": "813-971-6951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMUND G GRANT MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-19",
        "last_updated": "2010-08-09",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "EDMUND",
        "authorized_official_middle_name": "GUY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-971-8811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME0037350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068668900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Ruth Edmonds, ARNP
• Kayla Edmonds, CAA
• David Edmondson
• Ellen Edmondson, ARNP
• Kelli McGhee Edmondson, MS CCCSLP
• Miriam Edouard, ACNP-BC
• Edrina Hammond, LLC
• Sarah Edrington, PA
• Bruce James Edson, MD
• Eduardo Ercia MD PA

• Neurology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.