| Gordon Grenn D.o., P.a. | |
|
4002 Raulerson Dr Lake Worth FL 33463-8927 | |
| (561) 964-4077 | |
| (561) 964-9296 |
| Full Name | Gordon Grenn D.o., P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 4002 Raulerson Dr, Lake Worth, Florida |
| Authorized Official Name and Position | Gordon L. Grenn (DOCTOR) |
| Authorized Official Contact | 5619644077 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon Grenn D.o., P.a. 4002 Raulerson Dr Lake Worth FL 33463-8927 Ph: (561) 964-4077 | Gordon Grenn D.o., P.a. 4002 Raulerson Dr Lake Worth FL 33463-8927 Ph: (561) 964-4077 |
| NPI Number | 1326348681 |
|---|---|
| Provider Enumeration Date | 11/02/2010 |
| Last Update Date | 05/17/2011 |
| Medicare PECOS PAC ID | 9739367384 |
|---|---|
| Medicare Enrollment ID | O20110629000580 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326348681 | NPI | - | NPPES |
| 265885200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS0003345 (Florida) | Primary |
| Provider Name | Gordon L Grenn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871603670 PECOS PAC ID: 4880872431 Enrollment ID: I20110707000422 |
Hebridas Medical Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2311 10th Ave N Ste 14, Lake Worth, FL 33461 Phone: 561-814-2888 | |
Moyenda Holistic Health Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9835 Lake Worth Rd Ste 16, Lake Worth, FL 33467 Phone: 954-774-1414 | |
Miami Florida Group Corp. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2121 10th Ave N, Lake Worth, FL 33461 Phone: 786-429-0325 | |
Md Now Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4570 Lantana Rd, Lake Worth, FL 33463 Phone: 561-963-9881 Fax: 877-910-5191 | |
Lifestyle Health & Wellness Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5414 Rivermill Ln, Lake Worth, FL 33463 Phone: 561-706-4392 | |
Bethel Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6045 Hagen Ranch Rd Ste 4, Lake Worth, FL 33467 Phone: 561-433-9331 Fax: 561-433-8411 | |
Soma Medical Center Pa #5 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 330 S Dixie Hwy, Lake Worth, FL 33460 Phone: 561-227-3993 Fax: 561-855-4308 |