MEDICARE: JOCELYN CARIN GRENIER PA

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	363AS0400X	Surgical Physician Assistant	PA9102519	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	290967	OTHER	FL	AVMED
2	995399	OTHER	FL	NHP
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306848957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOCELYN CARIN GRENIER PA

Provider Business Mailing Address
First Line	:	3001 CORAL HILLS DR
Second Line	:	SUITE 320
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-4172
Country	:	US
Telephone Number	:	954-755-0111
Fax Number	:	954-755-2209

Provider Business Practice Location Address
First Line	:	3001 CORAL HILLS DR
Second Line	:	SUITE 320
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-4172
Country	:	US
Telephone Number	:	954-755-0111
Fax Number	:	954-755-2209

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

Provider Enumeration Date	:	08/12/2005
Last Update Date	:	08/07/2014

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Directions to “ JOCELYN CARIN GRENIER PA” Practice Location

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