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General NPI Number Information
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NPI Number | 1104819416
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Entity Type | Organization
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Legal Business Name | GRIMMETT EYE CARE PLLC
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Dates
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Enumeration Date | 08/23/2005
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Last Update Date | 08/28/2013
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Provider Practice Location Address
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Address Line | 3385 BURNS RD SUITE 209
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-4328
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Country | US
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Telephone | 561-691-3937
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Fax | 561-691-3992
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Provider Business Mailing Address
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Address Line | 3385 BURNS RD SUITE 209
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-4328
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Country | US
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Telephone | 561-691-3937
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Fax | 561-691-3992
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Authorized Official
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Title or Position | MANAGING MEMBER GRIMMETT EYE CARE
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Name | DR. MICHAEL RALPH GRIMMETT
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Credential | MD
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Telephone | 561-691-3937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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