AMBER GRIMM


Address: 2144 Bristol Grande Way, Orlando, FL 32820-2781
Phone: 4074798778

AMBER GRIMM (NPI# 1609414143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609414143
Entity Type Individual
Full Name AMBER GRIMM
Credential PA-C
Practice Address 2144 Bristol Grande Way
Orlando
FL 32820-2781
Practice Telephone 4074798778
Mailing Telephone 4074798778
Enumeration Date 2019-12-16
Last Update Date 2019-12-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA9112838 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2144 BRISTOL GRANDE WAY
City ORLANDO
State FL
Zip Code 32820-2781

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1902405830 Tejah Carbone Social Worker 2630 S Tanner Rd, Orlando, FL 32820-1202 2020-10-21
1356717847 Paola Saenz Social Worker 3525 Oriskany Dr, Orlando, FL 32820-1402 2015-08-19
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881295525 Asahel Romero Physician Assistant 13228 Canna Lily Dr, Orlando, FL 32824-5067 2020-11-07
1609473594 Arianna Piza Cueva Physician Assistant 1617 Lake Baldwin Ln, Orlando, FL 32814-6745 2020-10-05
1679189153 Lynnzie Marie Kipp Physician Assistant 6427 Westwood Blvd Unit 100, Orlando, FL 32821-8311 2020-09-20
1396368189 Katharine Mcmanus Physician Assistant 6137 Jibway Ct, Orlando, FL 32807-2909 2020-05-27
1124651328 Kayleigh E Hunt Physician Assistant 86 W Copeland Dr, Orlando, FL 32806-2002 2020-02-16
1326679093 Hae Jeung Physician Assistant 1713 Circe Lake Ct, Orlando, FL 32826-4645 2020-01-30
1902445844 Christina Pagan Physician Assistant 2014 S Orange Ave # 200b, Orlando, FL 32806-3069 2019-12-23
1154969335 Shahed Hmeidan Physician Assistant 2624 Clementon Park Ct, Orlando, FL 32835-6160 2019-12-18
1255976213 Katherine Mary Vanhove Physician Assistant 1310 E Esther St, Orlando, FL 32806-4128 2019-11-14
1104461581 Purveena Doobay Physician Assistant 4907 W South St, Orlando, FL 32811-1769 2019-11-09
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Competitor

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City ORLANDO
Zip Code 32820

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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