Individual provider · Type 1 NPI

Paul Michael Lee Grenelle, P.A.

Medical Physician Assistant · Daytona Beach, FL

NPI number 1982901856 Active

Practice location

303 No. Clyde Morris Blvd., Halifax Medical Center
Daytona Beach, FL 32114-2709

Call (386) 425-2285 Map

Fax (386) 425-7522

Mailing address

PO Box 864074, Halifax Healthcare Systems, Inc.
Orlando, FL 32886-4074

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XPA9105871 (FL)
Medical Physician Assistant Primary 363AM0700XPA9105871 (FL)

Medical Physician Assistant: Definition to come...

3 other providers at this address

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About NPI 1982901856

Paul Michael Lee Grenelle, P.A.'s National Provider Identifier is 1982901856, issued on Feb 11, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Daytona Beach, FL. The record was last updated on Jan 18, 2012.