Mr David Edward Grant, MSN, APRN, NP-C | |
12470 Telecom Dr, Temple Terrace, FL 33637-0904 | |
(813) 871-8079 | |
Not Available |
Full Name | Mr David Edward Grant |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Adult Health |
Location | 12470 Telecom Dr, Temple Terrace, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811251234 | NPI | - | NPPES |
1811251234 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 9469490 (Florida) | Primary |
363LA2200X | Nurse Practitioner - Adult Health | 3007436 (Kentucky) | Secondary |
Entity Name | Ho Medical & Chiropractic Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487667770 PECOS PAC ID: 8426949959 Enrollment ID: O20040505001764 |
Entity Name | Caremed Health Solutions Of Kentucky, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326789462 PECOS PAC ID: 4880071299 Enrollment ID: O20220524000769 |
Entity Name | Jaynes Family Practice |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184228553 PECOS PAC ID: 3779992573 Enrollment ID: O20220916000145 |
Mailing Address | Practice Location Address |
---|---|
Mr David Edward Grant, MSN, APRN, NP-C 12470 Telecom Dr, Temple Terrace, FL 33637-0904 Ph: (813) 871-8079 | Mr David Edward Grant, MSN, APRN, NP-C 12470 Telecom Dr, Temple Terrace, FL 33637-0904 Ph: (813) 871-8079 |
Ofelia Maria Chou, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12470 Telecom Dr Ste 300w, Temple Terrace, FL 33637 Phone: 813-871-8183 Fax: 813-871-8184 | |
Viviane L Goncalves, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13067 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 303-261-7664 | |
Ms. Tracy L Czop, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13067 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-779-6303 Fax: 888-977-1998 | |
Ashley Nichole Christie, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12662 Telecom Dr, Temple Terrace, FL 33637 Phone: 813-910-0030 Fax: 843-790-1953 | |
Shawna Lord, MS, ARNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12662 Telecom Dr, Temple Terrace, FL 33637 Phone: 813-910-0030 | |
Mischa Nicole Tice, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 228-363-4729 | |
Amanda Parker, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5205 E Fletcher Ave, Temple Terrace, FL 33617 Phone: 813-987-2911 Fax: 813-987-2853 |