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NPI Code Detail

MEDICARE: JOSETTE A GRICE MD

MEDICARE: JOSETTE A GRICE MD
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
1207Q00000XFamily Medicine PhysicianME89287FL

Other Identifiers

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

General Provider Information

NPI Number : 1922070630
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSETTE A GRICE MD
Provider Business Mailing Address
First Line : 11505 RANGELAND PKWY
Second Line :
City : BRADENTON
State : FL
Zip : 34211-4041
Country : US
Telephone Number : 941-907-6016
Fax Number : 941-906-0199
Provider Business Practice Location Address
First Line : 11505 RANGELAND PKWY
Second Line :
City : BRADENTON
State : FL
Zip : 34211-4041
Country : US
Telephone Number : 941-907-6016
Fax Number : 941-906-0199
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2006
Last Update Date : 10/18/2024

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Directions to “ JOSETTE A GRICE MD” Practice Location

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