Individual
DR. DAWN M GRINENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610
(352) 265-0680
(352) 372-3831
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 265-0680
(352) 733-0016
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2012-01461
NC
207R00000X
Internal Medicine Physician
ME53785
FL
208000000X
Pediatrics Physician
ME53785
FL
2080A0000X
Pediatric Adolescent Medicine Physician
ME53785
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064765900
—
FL
01
—
110228587
RR MEDICARE
FL
01
—
P01451205
RR MEDICARE
NC
Enumeration date
07/13/2006
Last updated
06/11/2018
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