Individual
GORDON L GRENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4002 RAULERSON DR, LAKE WORTH, FL 33463-8927
(561) 964-4077
(561) 964-9296
Mailing address
4002 RAULERSON ROAD, LAKE WORTH, FL 33463-8927
(561) 964-4077
(561) 964-9296
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS0003345
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265885200
—
FL
Enumeration date
08/30/2006
Last updated
06/10/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us