Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Gordon Grenn DO, PA

Organization Family Medicine Physician · NPI 1326348681

Gordon Grenn DO, PA provides Family Medicine Physician services 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 Not confirmed with CMS for 15 years — call before visiting
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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