Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gordon Grenn DO, PA

Organization Family Medicine Physician · NPI 1326348681

Gordon Grenn DO, PA is a Family Medicine Physician in Lake Worth, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4002 Raulerson Dr
Lake Worth, FL 33463-8927
Phone: (561) 964-4077
Fax: (561) 964-9296
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS0003345 (FL)

Record details

NPI number1326348681
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gordon Grenn — Doctor · (561) 964-4077
NPI enumeratedNovember 2, 2010
Last updated in NPPESMay 17, 2011
Mailing address4002 Raulerson Dr, Lake Worth, FL 33463-8927

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