Healthcare Provider Details

I. General information

NPI: 1083527956
Provider Name (Legal Business Name): GRANTS CRABS & SEAFOOD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13030 STARKEY RD
LARGO FL
33773-1417
US

IV. Provider business mailing address

13030 STARKEY RD
LARGO FL
33773-1417
US

V. Phone/Fax

Practice location:
  • Phone: 727-584-2722
  • Fax:
Mailing address:
  • Phone: 727-584-2722
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State

VIII. Authorized Official

Name: VIRGINIA GRANT VIRGINIA GRANT
Title or Position: CO-OWNER
Credential:
Phone: 727-215-0716