Individual
AMBER GRIMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1337 S INTERNATIONAL PKWY STE 1301, LAKE MARY, FL 32746-1402
(407) 878-0022
Mailing address
1337 S INTERNATIONAL PKWY STE 100, LAKE MARY, FL 32746-1402
(407) 878-0022
(888) 815-1039
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9112838
FL
Other
Enumeration date
12/16/2019
Last updated
01/12/2024
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