Organization
GRIMES NEUROLOGY AND CONCUSSION CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY GRIMES M.D. (PHYSICIAN/ NEUROLOGIST)
(386) 679-3270
Entity
Organization
Contact information
Practice address
800 DUNLAWTON AVE STE 103, PORT ORANGE, FL 32127-4249
(386) 679-3270
Mailing address
800 DUNLAWTON AVE STE 103, PORT ORANGE, FL 32127-4249
(386) 679-3270
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME 106968
FL
Other
Enumeration date
03/03/2014
Last updated
03/03/2014
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