| Kimberly Grill Do P L C | |
|
5425 Park St N Suite 5 W St Petersburg FL 33709-7062 | |
| (727) 545-4700 | |
| Not Available |
| Full Name | Kimberly Grill Do P L C |
|---|---|
| Speciality | Internal Medicine |
| Location | 5425 Park St N, St Petersburg, Florida |
| Authorized Official Name and Position | Kimberly Grill (OWNER) |
| Authorized Official Contact | 7275454700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Grill Do P L C 1 Maryland Farms Suite 200 Brentwood TN 37027-5006 Ph: () - | Kimberly Grill Do P L C 5425 Park St N Suite 5 W St Petersburg FL 33709-7062 Ph: (727) 545-4700 |
| NPI Number | 1992848246 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 12/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992848246 | NPI | - | NPPES |
| 56-25888726 | Other | FL | TAX ID NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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