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NPI Code Detail

MEDICARE: BROOKE SCHACHTMAN GRIMES

MEDICARE:   BROOKE  SCHACHTMAN GRIMES
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
1363LF0000XFamily Nurse Practitioner11048261FL

General Provider Information

NPI Number : 1801720321
Entity Type Code : Individual
Provider Name (Legal Business Name) : BROOKE SCHACHTMAN GRIMES
Provider Business Mailing Address
First Line : 9838 ELEMENT RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-4086
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10058 BAYMEADOWS RD STE B
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-7177
Country : US
Telephone Number : 904-450-8020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2026
Last Update Date : 06/10/2026

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Directions to “ BROOKE SCHACHTMAN GRIMES ” Practice Location

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