DR. CRISTAL SUZANNE GRANT-SPENCE (NPI# 1639332513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639332513 |
| Entity Type | Individual |
| Full Name | DR. CRISTAL SUZANNE GRANT-SPENCE |
| Other Name | DR. CRISTAL SUZANNE GRANT |
| Credential | D.P.M. |
| Practice Address |
9121 Nw 17th St Plantation FL 33322-4338 |
| Practice Telephone | (954) 304-0121 |
| Mailing Telephone | (954) 304-0121 |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2017-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO 3361 | FL | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
65 006287 | NY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE PTAN | BE916Z | 01 |
| Street Address |
9121 NW 17TH ST |
| City | PLANTATION |
| State | FL |
| Zip Code | 33322-4338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891318689 | Aviva Care Pharmacy LLC | Pharmacy | 2053 North University Drive, Sunrise, FL 33322 | 2020-05-27 |
| 1225658867 | Einbar Hazan | Anesthesiology | 7700 Sunrise Blvd, Plantation, FL 33322 | 2020-04-23 |
| 1598305781 | Rxspeck's LLC | Technician/Technologist | 1860 N Pine Island Rd, 105, Plantation, FL 33322 | 2020-01-15 |
| 1285131771 | Ninoska Del Valle Perez Enez | Dentist | 8320 W Sunrise Blvd Plantation, Plantation, FL 33322 | 2018-04-10 |
| 1134644537 | Gregs Recovery Group | Substance Abuse Rehabilitation Facility | 2045 N University Drive, Sunrise, FL 33322 | 2017-08-07 |
| 1538699640 | Enriquillo Bencosme | Contractor | 9350 Sunrise Lakes Blvd. Apt.110, Sunrise, FL 33322 | 2017-06-13 |
| 1346789633 | Herline Saintcius | Occupational Therapy Assistant | 2720 North Pines Rd Apt 107, Sunrise, Surise, FL 33322 | 2017-02-20 |
| 1649719378 | Dana Malzahn | Nurse Anesthetist, Certified Registered | 7700 West Sunrise Blvd, Plantation, FL 33322 | 2017-02-14 |
| 1548614134 | Melissa Bridges | Counselor | 8551 Sunrise Blvd, Suite 206, Plantation, FL 33322 | 2016-04-20 |
| 1386005353 | Laura Hutira | Physical Therapist | 1825 N Pine Island Rd, Plantation, FL 33322 | 2016-03-17 |
| Find all providers in zip 33322 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902153182 | Hilary Anne Allison Smith | Podiatrist | 9710 Nw 7th Cir, Apt 1032, Plantation, FL 33324-7539 | 2012-08-07 |
| 1447224779 | Orthopaedic Associates Usa, Pa | Podiatrist | 350 N Pine Island Road, Suite 200, Plantation, FL 33324-1849 | 2006-02-14 |
| 1033108535 | Arthur Segall Jr. | Podiatrist | 201 Nw 82nd Ave Ste 102, Plantation, FL 33324-1853 | 2005-10-18 |
| 1669906921 | Joshua Epstein | Podiatrist | 8201 W Broward Blvd, Plantation, FL 33324-2701 | 2017-04-13 |
| 1578917555 | Adam Oxios | Podiatrist | 8201 W Broward Blvd, Plantation, FL 33324-2701 | 2016-04-15 |
| 1720268634 | Barrett E Sachs | Podiatrist | 8320 W Sunrise Blvd, #213, Plantation, FL 33322-5435 | 2007-11-07 |
| 1366570913 | Segall Foot & Ankle Inc | Podiatrist | 201 Nw 82nd Ave Ste 102, Plantation, FL 33324-1853 | 2007-03-02 |
| 1477691723 | Spinner and Chussid D P M P A | Podiatrist | 201 N University Dr, Ste 110, Plantation, FL 33324-2039 | 2007-02-01 |
| 1902954217 | Steven Michael Spinner | Podiatrist | 201 N University Dr, Suite 110, Plantation, FL 33324-2039 | 2007-01-05 |
| 1073660585 | Madelin Carracela Ramil | Podiatrist | 201 N University Dr, Ste 110, Plantation, FL 33324-2039 | 2007-01-05 |
| Find all providers in PLANTATION | ||||
| City | PLANTATION |
| Zip Code | 33322 |
Please comment or provide details below to improve the information on DR. CRISTAL SUZANNE GRANT-SPENCE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.