Mr. Chris Grevengood
Medical Geneticist Obstetrician & Gynecologist
9400 Bonita Beach Rd Se Ste 204
Bonita Springs
, Florida 34135-4520
Mr. Chris Grevengood
Medical Geneticist Obstetrician & Gynecologist
9400 Bonita Beach Rd Se Ste 204
Bonita Springs
, Florida 34135-4520
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About
Features
Specialties
- Medical Geneticist
- Obstetrician & Gynecologist
Languages spoken
- English
Location
First Address
- Mr. Chris Grevengood
- Po Box 3123
- St Augustine, FL
- Zip : 32085-3123
- Phone :
Second Address
- Mr. Chris Grevengood
- 9400 Bonita Beach Rd Se Ste 204
- Bonita Springs, FL
- Zip : 34135-4520
- Fax : (800) 581-0276
- Phone : (239) 571-9765
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Is Mr. Chris Grevengood a sole practitioner?
Is Mr. Chris Grevengood accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 170100000X | Medical Geneticist | ME0067027 | FL |
| Y | 207V00000X | Obstetrician & Gynecologist | ME0067027 | FL |
National Provider Identifier
| NPI | 1225087273 |
|---|---|
| Provider Name | Mr. Chris Grevengood |
| First Address | St Augustine, FL 32085-3123 |
| Second Address | Bonita Springs, FL 34135-4520 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/05/2006 |
| Last Update Date | 05/08/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E99957 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.