Organization · NPI-2

Grema Medical Services, LLC

Clinic/Center · Port Saint Lucie, FL

NPI number1245474238
StatusActive
Last updated in NPPESNov 16, 2017

Details

NPI
1245474238
Entity type
Organization (NPI-2)
Legal business name
Grema Medical Services, LLC
Organization subpart
No
Enumeration date
Apr 22, 2009
Last updated
Nov 16, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes
261Q00000X Clinic/CenterME0043064FL

Other names

  • Grema Medical Services (Former Legal Business Name)

Practice location

1362 Sw Bayshore Blvd
Port Saint Lucie, FL 34983

Phone 772-873-5213 · Fax 772-873-5215

Mailing address

1362 Sw Bayshore Blvd
Port Saint Lucie, FL 34983

Phone 772-873-5213 · Fax 772-873-5215

Authorized official

Jean Marie Gregoire Eugene
General Practice
7728735213

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