Grady C Stewart in Jacksonville - Diagnostic Ultrasound

Grady C Stewart - NPI 1528036175

Grady C Stewart is a Diagnostic Ultrasound in Jacksonville, Florida. Grady C Stewart practices all healthcare services and medical treatments related to Diagnostic Ultrasound. The NPI Number for Grady C Stewart is 1528036175. The last update date is 2010-03-17.

Grady C Stewart's current location address is 3599 University Blvd S, Jacksonville, Florida. You can contact this provider via phone number 9043995550 and fax number 9043464334. The mailing address for Grady C Stewart is 3599 University Blvd S, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Grady C Stewart
Address 3599 University Blvd S, Jacksonville, Florida
Phone Number 9043995550
Fax Number 9043464334
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1528036175
Provider Enumeration Date 2006-03-09
Last Updated Date 2010-03-17

Provider Mailing Address Detail

Address 3599 University Blvd S
City Jacksonville
State Florida (FL)
Post Code 322164252
Phone Number 9043995550
Fax Number 9043464334

Provider's Primary Taxonomy Detail

Speciality Diagnostic Ultrasound
Taxonomy 2085U0001X
Licence No ME32520
Definition:
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00356298A GA --
47723100 FL --

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FAQs about Grady C Stewart

What is the unique provider identifier assigned to Grady C Stewart?

The Grady C Stewart has been issued the NPI (National Provider Identifier) 1528036175 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Grady C Stewart is geographically located?

The Grady C Stewart is physically situated at the following location: 3599 University Blvd S, Jacksonville, FL, 322164252.

What is the Grady C Stewart's specialty and taxonomy code?

The Grady C Stewart's specialty is Diagnostic Ultrasound, and the corresponding taxonomy code is 2085U0001X.

On what date did the Grady C Stewart receive its 1528036175 assignment from the Centers for Medicare & Medicaid Services?

The Grady C Stewart was assigned its 1528036175 by the Centers for Medicare & Medicaid Services on 2006-03-09.

As of what date was the information regarding Grady C Stewart, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Grady C Stewart, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-03-17.

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