Individual
DR. JEREMY ROBERT GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 425-4000
Mailing address
PO BOX 100236, STE 22, GAINESVILLE, FL 32610-0236
(352) 273-5550
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME106968
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003790100
—
FL
01
—
149KY
BCBS
FL
Enumeration date
08/17/2007
Last updated
04/04/2026
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