MEDICARE: GR MEDICAL PC

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1649086331
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GR MEDICAL PC

Provider Business Mailing Address
First Line	:	7901 4TH ST N STE 300
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33702-4399
Country	:	US
Telephone Number	:	949-793-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	7901 4TH ST N STE 300
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33702-4399
Country	:	US
Telephone Number	:	949-506-0640
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	IRA BEER
Credential	:
Telephone Number	:	949-506-0640

Provider Enumeration Date	:	12/06/2024
Last Update Date	:	12/08/2025

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Directions to “GR MEDICAL PC ” Practice Location

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