| James M Grimes Orthopaedics Llc | |
|
1301 Plantation Island Dr S Ste 106a St Augustine FL 32080-3109 | |
| (904) 814-8365 | |
| (904) 217-3224 |
| Full Name | James M Grimes Orthopaedics Llc |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 1301 Plantation Island Dr S Ste 106a, St Augustine, Florida |
| Authorized Official Name and Position | James M Grimes (SOLE MEMBER) |
| Authorized Official Contact | 9048148365 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James M Grimes Orthopaedics Llc Po Box 2230 St Augustine FL 32085-2230 Ph: (904) 824-4990 | James M Grimes Orthopaedics Llc 1301 Plantation Island Dr S Ste 106a St Augustine FL 32080-3109 Ph: (904) 814-8365 |
| NPI Number | 1598424699 |
|---|---|
| Provider Enumeration Date | 12/16/2021 |
| Last Update Date | 12/12/2024 |
| Medicare PECOS PAC ID | 3779976584 |
|---|---|
| Medicare Enrollment ID | O20220131000578 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598424699 | NPI | - | NPPES |
| Provider Name | James M Grimes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689644833 PECOS PAC ID: 9436173788 Enrollment ID: I20091214000582 |
| Provider Name | Michele L. Bannister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669000105 PECOS PAC ID: 2961890074 Enrollment ID: I20211022000164 |
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