Organization
ST PETE SPINAL CARE LLC
Active
Organization
ST PETE SPINAL CARE LLC
Active
Other names
Stanley D Grimmel DC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY D GRIMMEL D.C. (OWNER)
(727) 344-2225
Entity
Organization
Contact information
Practice address
6798 CROSSWINDS DR N, C105, ST PETERSBURG, FL 33710-8603
(727) 344-2225
Mailing address
6798 CROSSWINDS DR N, C105, ST PETERSBURG, FL 33710-8603
(727) 344-2225
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
CH9471
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104097427
NPI
FL
Enumeration date
08/13/2008
Last updated
08/13/2008
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