Individual
DR. ERIC GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
12798 W FOREST HILL BLVD, SUITE 301A, WELLINGTON, FL 33414-4750
(561) 795-9150
(561) 798-7700
Mailing address
12798 W FOREST HILL BLVD, SUITE 301A, WELLINGTON, FL 33414-4750
(561) 795-9150
(561) 798-7700
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
OS 7193
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2719860-00
—
FL
Enumeration date
05/22/2006
Last updated
08/10/2007
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