Grinenko, Dawn M

Grinenko, Dawn M is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Grinenko, Dawn M can be contacted via phone (352) 265-0680.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610
Phone: (352) 265-0680
Fax: (352) 372-3831
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME53785 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME53785 Florida
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X ME53785 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2012-01461 North Carolina

Profile Details

NPI number 1699790527
LBN Legal business name Grinenko, Dawn M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jun 11th, 2018 - about 6 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 1699790527 NPPES
Florida MEDICAID 064765900
Florida Other 110228587
Florida Other P01451205

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