Gamel, Grant Richard
Gamel, Grant Richard is an individual health care provider with primary practice located at 1324 Lakeland Hills Blvd , Lakeland FL 33805-4543. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Gamel, Grant Richard can be contacted via phone (352) 867-8898.Contact Information
Primary practice address
1324 Lakeland Hills Blvd
Lakeland FL 33805-4543
Phone: (352) 867-8898
Fax: (352) 732-6282
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | OS0006312 | Florida |
Profile Details
| NPI number | 1215941547 |
|---|---|
| LBN Legal business name | Gamel, Grant Richard |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2006 |
| Last updated | May 16th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215941547 | NPPES |
| Florida | MEDICAID | 371050500 | |
| Florida | Other | 80629 |
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