MEDICARE: DR. REETU GREWAL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	28064	SC
2	207Q00000X	Family Medicine Physician	ME101687	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093823569
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REETU GREWAL M.D.

Provider Business Mailing Address
First Line	:	PO BOX 44008
Second Line	:	UFJP PROVIDER ENROLLMENT
City	:	JACKSONVILLE
State	:	FL
Zip	:	32231-4008
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5460 BLANDING BLVD STE 3
Second Line	:	UFJP ANCHOR PLAZA
City	:	JACKSONVILLE
State	:	FL
Zip	:	32244-1957
Country	:	US
Telephone Number	:	904-633-0610
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2006
Last Update Date	:	08/19/2009

Similar Medicare Providers

1033965231 — KERMIDE LAGUERRE
Practice Location Address:

5460 BLANDING BLVD
JACKSONVILLE, FL
32244-1957

Practice Phone: 904-760-4904
Practice Fax: 904-779-5263

1639146905 — MR. DAVID FRANCIS HABELL PA-C
Practice Location Address:

5460 BLANDING BLVD , UFJP ANCHOR PLAZA FAMILY PRACTICE CENTER
JACKSONVILLE, FL
32244-1957

Practice Phone: 904-777-3019
Practice Fax: 904-777-1241

1235398983 — UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC.
Practice Location Address:

5460 BLANDING BLVD STE 3 , UFJP ANCHOR PLAZA
JACKSONVILLE, FL
32244-1957

Practice Phone: 904-633-0610
Practice Fax:

1609166198 — ALL WELL PHARMACY INC
Practice Location Address:

5452 BLANDING BLVD
JACKSONVILLE, FL
32244-1957

Practice Phone: 904-779-6990
Practice Fax: 904-779-6995

1336536747 — RAVI BOPPANA
Practice Location Address:

5452 BLANDING BLVD
JACKSONVILLE, FL
32244-1957

Practice Phone: 904-779-6990
Practice Fax: 904-779-6995

1578928826 — AGAPE COMMUNITY HEALTH CENTER, INC.
Practice Location Address:

5460 BLANDING BLVD
JACKSONVILLE, FL
32244-1957

Practice Phone: 904-760-4904
Practice Fax: 904-779-5263

Directions to “ DR. REETU GREWAL M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.