Individual
MR. MICHAEL PATRICK GRENON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1350 SOUTH HICKORY ST, MELBOURNE, FL 32901
(321) 434-7145
(321) 434-1656
Mailing address
112 SEA BREEZE CIR, MERRITT ISLAND, FL 32953-2947
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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