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Marvel Grant
NPI 1831708015 · on the registry since 2020 · sole proprietor
Practice
- Address
- 6600 Nw 34th Ave
Fort Lauderdale, FL 33309 - Phone
- (954) 494-7564
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-08-08
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