Organization
PHYSICIANS INJURY MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE E GRAU JR. MD (PRESIDENT)
(727) 841-9998
Entity
Organization
Contact information
Practice address
4770 US HIGHWAY 19, NEW PORT RICHEY, FL 34652-4944
(727) 841-9998
(727) 841-9848
Mailing address
4770 US HIGHWAY 19, NEW PORT RICHEY, FL 34652-4944
(727) 841-9998
(727) 841-9848
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH3514
FL
111N00000X
Chiropractor
CH7939
FL
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34705
BLUE CROSS & BLUE SHIELD
FL
Enumeration date
11/29/2006
Last updated
09/11/2025
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