Search › Florida › 207Q00000X
Gordon Grenn
NPI 1871603670 · on the registry since 2006 · sole proprietor
Practice
- Address
- 4002 Raulerson Dr
Lake Worth, FL 33463 - Phone
- (561) 964-4077
- Fax
- (561) 964-9296
- Organisation at this address
- Gordon Grenn D.O., P.A.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-06-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida