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

Mason Douglas Grimm

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1134721210

Mason Douglas Grimm is a Student in an Organized Health Care Education/Training Program in Lakeland, Florida. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543
Phone: (863) 687-1100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1134721210
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 12, 2020
Last updated in NPPESMarch 20, 2024
Certification dateMarch 20, 2024
Mailing address1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543

Other providers in Lakeland