Gamel, Grant Richard

Gamel, Grant Richard is an individual health care provider with primary practice located at 1324 Lakeland Hills Blvd , Lakeland FL 33805-4543. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Gamel, Grant Richard can be contacted via phone (352) 867-8898.

Contact Information

Primary practice address
1324 Lakeland Hills Blvd Lakeland FL 33805-4543
Fax: (352) 732-6282
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X OS0006312 Florida

Profile Details

NPI number 1215941547
LBN Legal business name Gamel, Grant Richard
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2006
Last updated May 16th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215941547 NPPES
Florida MEDICAID 371050500
Florida Other 80629

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