person
Mr. Paul Michael Lee Grenelle, PA
Medical Physician Assistant in Daytona Beach, Florida
NPI 1982901856

Paul Michael Lee Grenelle is a Medical Physician Assistant based in Orlando, FL and is specialized in Medical. Paul Michael Lee Grenelle practices in Daytona Beach, FL and has the professional credentials of PA. The NPI Number for Paul Michael Lee Grenelle is 1982901856 and holds a License No. PA9105871 (Florida).

The current practice location address for Paul Michael Lee Grenelle is 303 No. Clyde Morris Blvd., Daytona Beach, FL and can be reached out via phone at 386-425-2285 and via fax at 386-425-7522.

Location: 303 No. Clyde Morris Blvd., Daytona Beach, FL, 32886-4074
person
Provider Profile Details
NPI Number
1982901856
Provider Name
Paul Michael Lee Grenelle
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
303 No. Clyde Morris Blvd., Daytona Beach, FL, 32886-4074
Phone Number
386-425-2285
Fax Number
386-425-7522
Provider Enumeration Date
02/11/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
303 No. Clyde Morris Blvd.
City
State
Zip
32114-2709
Phone Number
386-425-2285
Fax Number
386-425-7522
person
Provider Business Mailing Address Details
Address
303 No. Clyde Morris Blvd.
City
State
Zip
32114-2709
Phone Number
386-425-2285
Fax Number
386-425-7522
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA9105871 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA9105871 (Florida)
Definition
Definition to come...
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