MR. Omar Cordell Grant, PA-C is a medical physician assistant in Lakewood Ranch, FL with 11 years of experience. MR. Omar Cordell Grant, PA-C NPI is 1831522374. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
8130 LAKEWOOD MAIN ST STE 103
LAKEWOOD RANCH, FL
ZIP 34202-068
Phone: (941) 499-2700
Fax: (941) 487-0474
The NPI 1831522374 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 8/20/2013 and was last updated on 3/18/2021.