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Organization
SUSAN K GRENZ MD PA
Active
Organization
SUSAN K GRENZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN K GRENZ MD (OWNER)
(727) 733-6633
Entity
Organization
Contact information
Practice address
1964 B BAYSHORE BLVD, DUNEDIN, FL 34698
(727) 733-6633
(727) 738-8194
Mailing address
1964 B BAYSHORE BLVD, DUNEDIN, FL 34698
(727) 733-6633
(727) 738-8194
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0044700
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102600
AUMED
—
01
—
123062
HUMANA
—
01
—
123063
HUMANA GOLD
—
01
—
3000067
BAYCARE
—
01
—
3386236 002
CIGNA
—
01
—
622728
AETNA
FL
01
—
62527
BCBS
FL
Enumeration date
01/07/2008
Last updated
11/19/2009
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