Individual
MR. ROY DENNIS GRIEWISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9580 NIMS LN, PENSACOLA, FL 32534-1302
(850) 479-1766
(850) 479-1768
Mailing address
9580 NIMS LN, PENSACOLA, FL 32534-1302
(850) 479-1766
(850) 479-1768
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
—
FL
171WV0202X
Vehicle Modifications Contractor
Primary
—
FL
332B00000X
Durable Medical Equipment & Medical Supplies
—
FL
332BC3200X
Customized Equipment (DME)
—
FL
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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