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Grant Medlock
NPI 1003391145 · on the registry since 2018 · sole proprietor
Practice
- Address
- 2498 Lynn Lake Cir S
Saint Petersburg, FL 33712 - Phone
- (913) 553-9394
Additional practice sites
- 2498 Lynn Lake Cir S, Saint Petersburg, FL
Registry record
- Primary taxonomy
- Home Health Agency
251E00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-09-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida