Gordon Grenn D.O., P.A.

LBN: Gordon Grenn D.O., P.A.
Gordon Grenn D.O., P.A. is an health care organization with primary practice located at 4002 Raulerson Dr , Lake Worth FL 33463-8927. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Gordon Grenn D.O., P.A. can be contacted via phone (561) 964-4077, or through Grenn, Gordon L. via phone (561) 964-4077.

Contact Information

Primary practice address
4002 Raulerson Dr Lake Worth FL 33463-8927
Phone: (561) 964-4077
Fax: (561) 964-9296
Website:
Map and Directions
Authorized official contact:
Name: Grenn, Gordon L. Doctor of Osteopathy (DO)
Phone: (561) 964-4077

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS0003345 Florida

Profile Details

NPI number 1326348681
LBN Legal business name Gordon Grenn D.O., P.A.
DBA Doing business as
Authorized official Grenn, Gordon L. Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2010
Last updated May 17th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1326348681 NPPES
Florida MEDICAID 265885200

Popular Providers