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:
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Health care specialties

SpecialtyCodeLicense #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 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699779462 NPPES
Florida MEDICAID 264048100

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