| Grimes Neurology And Concussion Center, P.a. | |
|
800 Dunlawton Ave Ste 103 Port Orange FL 32127-4249 | |
| (386) 679-3270 | |
| Not Available |
| Full Name | Grimes Neurology And Concussion Center, P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 800 Dunlawton Ave Ste 103, Port Orange, Florida |
| Authorized Official Name and Position | Jeremy Grimes (PHYSICIAN/ NEUROLOGIST) |
| Authorized Official Contact | 3866793270 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grimes Neurology And Concussion Center, P.a. 800 Dunlawton Ave Ste 103 Port Orange FL 32127-4249 Ph: (386) 679-3270 | Grimes Neurology And Concussion Center, P.a. 800 Dunlawton Ave Ste 103 Port Orange FL 32127-4249 Ph: (386) 679-3270 |
| NPI Number | 1144645961 |
|---|---|
| Provider Enumeration Date | 03/03/2014 |
| Last Update Date | 03/03/2014 |
| Medicare PECOS PAC ID | 6608099239 |
|---|---|
| Medicare Enrollment ID | O20140528001754 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144645961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME 106968 (Florida) | Primary |
| Provider Name | Jeremy R Grimes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841482346 PECOS PAC ID: 6002930633 Enrollment ID: I20100902000694 |
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