Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. OMAR CORDELL GRANT, PA-C
ActiveMR. OMAR CORDELL GRANT, PA-C is a Medical Physician Assistant healthcare provider located in LAKEWOOD RANCH, Florida. NPI 1831522374 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · LAKEWOOD RANCH, FL
Registration Details
- NPI Number
- 1831522374
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 20, 2013 (12.972435828667 yrs)
- Last Updated
- Feb 10, 2025
- License
-
PA9107410 (FL)
Practice Information
- Address
-
8130 LAKEWOOD MAIN ST STE 103LAKEWOOD RANCH, FL, 342025068Browse FL providers · Browse ZIP 34202
- Phone
- 9545517041
- Fax
- 9414870474
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Surgical Physician Assistant
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in LAKEWOOD RANCH, FL
| Name | Credential | NPI |
|---|---|---|
| MEREDITH M. MILLER | PA-C | 1518953595 |
| JULIE N FINN | P.A. | 1134177157 |
| SHANNON POHL | PA-C | 1255629242 |
| LAURA ELIZABETH MARANO RUSH | PA-C | 1528356326 |
| TRACY OSBORNE | PA-C | 1902268998 |
| AUDRA BALLASH | PA | 1558870139 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.