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Provider Information for 1255398798

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. CHRISTOPHER JOEL GRAINGER M.D.

Gender: MALE

Individual NPI: 1255398798

Calendar   Last Updated:  2009-12-22
  Certification Date: 

Details

Name Value
NPI 1255398798
Enumeration Date 2006-04-27
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 4600 SW 46TH CT SUITE 310
OCALA, FL 34474-5752
United States

Phone: 352-351-0463 | Fax: 352-620-8639
View Map External Link
Primary Practice Address 4600 SW 46TH CT SUITE 310
OCALA, FL 34474-5752
United States

Phone: 352-351-0463 | Fax: 352-620-8639
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID FL 065707700
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207QG0300X - Family Medicine Geriatric Medicine FL ME 0038592