Provider Demographics
NPI:1881825461
Name:GRENIER, DANIEL AARON (DO)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:AARON
Last Name:GRENIER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12172 NW 75TH PL
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33076-4500
Mailing Address - Country:US
Mailing Address - Phone:954-227-2250
Mailing Address - Fax:
Practice Address - Street 1:12172 NW 75TH PL
Practice Address - Street 2:
Practice Address - City:PARKLAND
Practice Address - State:FL
Practice Address - Zip Code:33076-4500
Practice Address - Country:US
Practice Address - Phone:954-227-2250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-30
Last Update Date:2009-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS 10741207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine