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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GORDON L GRENN

Active Sole Proprietor

GORDON L GRENN is a Family Medicine healthcare provider located in LAKE WORTH, Florida. NPI 1871603670 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · LAKE WORTH, FL

Registration Details

NPI Number
1871603670
Provider Type
Individual
Gender
Male
NPI Issued
Aug 30, 2006 (19.77601979082 yrs)
Last Updated
Jun 10, 2011
License
OS0003345 (FL)
Sole Proprietor
Yes

Practice Information

Address
4002 RAULERSON DR
LAKE WORTH, FL, 334638927
Browse FL providers · Browse ZIP 33463
Phone
5619644077
Fax
5619649296
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in LAKE WORTH, FL

Name Credential NPI
DR. JOHN BOLLA 1396723581
DR. DAVID SIMON DO 1912979279
RAFAEL UBEDA MD 1699724005
DR. MARVIN ARENSTEIN DO 1679510846
DR. BENEDICTO P SANPEDRO M.D. 1992719686
DR. MARY NOCERO SCANLON DO 1245240548
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.