SearchFlorida152W00000X

Edward Grout, O.D

NPI 1467990747 · on the registry since 2017 · sole proprietor

Practice

Address
134 Falcon Dr
Green Cove Springs, FL 32043
Phone
(904) 443-3500
Fax
(904) 443-1783

Registry record

Primary taxonomy
152W00000X
152W00000X
Also registered as
152W00000X
Licence states on file
OK, OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-02-07

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