Grimm, Amber
Grimm, Amber is an sole proprietor health care provider with primary practice located at 1337 S International Pkwy Ste 1301 , Lake Mary FL 32746-1402. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Grimm, Amber can be contacted via phone (407) 878-0022.Contact Information
Primary practice address
1337 S International Pkwy Ste 1301
Lake Mary FL 32746-1402
Phone: (407) 878-0022
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9112838 | Florida |
Profile Details
NPI number | 1609414143 |
---|---|
LBN Legal business name | Grimm, Amber |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 16th, 2019 |
Last updated | Jan 12th, 2024 - about 8 months 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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