MR. Raymond Grey Grimm

NPI #1245779156 in Clearwater Beach, Florida

Provider Information

NPI Number: 1245779156
Entity Type: Individual
Name: MR. Raymond Grey Grimm
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Feb 13, 2017
Last Updated: Feb 13, 2017

Practice Location

Address: 741 LANTANA AVE
City: Clearwater Beach
State: Florida
ZIP Code: 33767-1427
Phone: (727) 580-2702

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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