| Stanley D Grimmel Dc | |
|
6798 Crosswinds Dr N C105 St Petersburg FL 33710-8603 | |
| (727) 344-2225 | |
| Not Available |
| Full Name | Stanley D Grimmel Dc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6798 Crosswinds Dr N, St Petersburg, Florida |
| Authorized Official Name and Position | Stanley D Grimmel (OWNER) |
| Authorized Official Contact | 7273442225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stanley D Grimmel Dc 6798 Crosswinds Dr N C105 St Petersburg FL 33710-8603 Ph: (727) 344-2225 | Stanley D Grimmel Dc 6798 Crosswinds Dr N C105 St Petersburg FL 33710-8603 Ph: (727) 344-2225 |
| NPI Number | 1689820326 |
|---|---|
| Provider Enumeration Date | 08/13/2008 |
| Last Update Date | 08/13/2008 |
| Medicare PECOS PAC ID | 2860550738 |
|---|---|
| Medicare Enrollment ID | O20081021000701 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689820326 | NPI | - | NPPES |
| 1104097427 | Other | FL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | CH9471 (Florida) | Primary |
| Provider Name | Stanley D Grimmel |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1104097427 PECOS PAC ID: 6507808078 Enrollment ID: I20081021000687 |
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