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Individual

EDWARD C. GRENDYS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8931 COLONIAL CENTER DR, SUITE 400, FORT MYERS, FL 33905-7816
(239) 334-6626
(239) 334-0404
Mailing address
2234 COLONIAL BLVD, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385

Taxonomy

Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
ME0072182
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1046139
FIRST HEALTH PROV. NUMBER
FL
01
1278212
WELLCARE-MEDICARE AND MEDICAID
FL
01
2262127-008
CIGNA PROVIDER NUMBER
FL
05
251462100
FL
01
32707
BCBS OF FL. PROVIDER #
FL
01
3762567
AETNA HMO PROVIDER #
FL
01
4521619
AETNA OTHER PROVIDER #
FL
01
P00194029
RAILROAD MEDICARE
FL
Enumeration date
07/05/2005
Last updated
04/18/2017
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