Grimsley, Richard R.
Grimsley, Richard R. is an individual health care provider with primary practice located at 2 Shircliff Way Ste 300 , Jacksonville FL 32204-4753. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery is his primary health care specialty. Grimsley, Richard R. can be contacted via phone (904) 204-5000.Contact Information
Primary practice address
2 Shircliff Way Ste 300
Jacksonville FL 32204-4753
Phone: (904) 204-5000
Fax: (904) 204-4000
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | ME67016 | Florida |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ME67016 | Florida |
Profile Details
| NPI number | 1699779462 |
|---|---|
| LBN Legal business name | Grimsley, Richard R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Jun 24th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699779462 | NPPES |
| Florida | MEDICAID | 264048100 |
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