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Provider Information for 1285612267

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. AMY LYNN POST-GRADY DO

Gender: FEMALE

Individual NPI: 1285612267

Calendar   Last Updated:  2019-01-10
  Certification Date: 

Details

Name Value
NPI 1285612267
Enumeration Date 2006-01-09
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address PO BOX 10744
CLEARWATER, FL 33757-8744
United States

Phone: 727-532-0002 | Fax: 727-266-4943
View Map External Link
Primary Practice Address 3231 MCMULLEN BOOTH RD
SAFETY HARBOR, FL 34695-6607
United States

Phone: 727-725-6905 | Fax: 727-266-4931
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 101664900
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207RH0002X - Internal Medicine Hospice and Palliative Medicine FL OS-10223