person
Mason Douglas Grimm
Student in an Organized Health Care Education/Training Program in Lakeland, Florida
NPI 1134721210

Mason Douglas Grimm is a Student in an Organized Health Care Education/Training Program based in Lakeland, FL. Mason Douglas Grimm practices in Lakeland, FL. The NPI Number for Mason Douglas Grimm is 1134721210 and holds a License No. (Florida).

The current practice location address for Mason Douglas Grimm is 1324 Lakeland Hills Blvd, Lakeland, FL and can be reached out via phone at 863-687-1100.

Location: 1324 Lakeland Hills Blvd, Lakeland, FL, 33805-4543
person
Provider Profile Details
NPI Number
1134721210
Provider Name
Mason Douglas Grimm
Credential
Provider Entity Type
Individual
Gender
Male
Address
1324 Lakeland Hills Blvd, Lakeland, FL, 33805-4543
Phone Number
863-687-1100
Fax Number
Provider Enumeration Date
11/12/2020
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
1324 Lakeland Hills Blvd
City
State
Zip
33805-4543
Phone Number
863-687-1100
Fax Number
person
Provider Business Mailing Address Details
Address
1324 Lakeland Hills Blvd
City
State
Zip
33805-4543
Phone Number
863-687-1100
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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