Individual
MR. KEVIN PAUL GRINNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1010 E ROSE ST, LAKELAND, FL 33801-2016
(863) 519-3900
Mailing address
4039 NW BLITCHTON RD, OCALA, FL 34475-6763
(352) 804-3624
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/13/2017
Last updated
06/27/2025
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