| Doctor Name: | VINCENT L GRANT |
| NPI Number: | 1073597092 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD PLC |
| License Number: | ME48804 |
| Business Practice Address: | 1530 Lee Blvd Suite 2350 Lehigh Acres, FL - 339364893 |
| Business Phone Number: | 2393680095 |
| Business Fax Number: | 2393690085 |
| Mailing Address: | 143 Highland Parkway, Suite A PICAYUNE |
| State: | MS |
| Postal Code: | 39466 |
| Phone Number: | 6013589866 |
| Fax Number: | 6017989497 |
| NPI Enumeration Date: | 12/02/2005 |
| NPI Last Update Date: | 08/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0129X |
| License Number: | ME48804 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Vascular Surgery |
| Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |