Individual
DR. ROBERT LEE GRIGSBY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
42 DOCTORS VILLAGE DR, ST JOHNS, FL 32259-2245
(904) 230-5000
Mailing address
150 GRAFFT LN, ST AUGUSTINE, FL 32084-6557
(850) 585-5285
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
ME34609
FL
208D00000X
General Practice Physician
Primary
ME34609
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038622701
—
FL
Enumeration date
08/03/2006
Last updated
09/17/2021
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