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

Mr. Paul Michael Lee Grenelle, PA

Individual provider Surgical Physician Assistant · NPI 1982901856

Mr. Paul Michael Lee Grenelle, PA is a Surgical Physician Assistant in Daytona Beach, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

303 No Clyde Morris Blvd Halifax Medical Ctr
Daytona Beach, FL 32114-2709
Phone: (386) 425-2285
Fax: (386) 425-7522
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9105871 (FL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA9105871 (FL)

Record details

NPI number1982901856
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 11, 2011
Last updated in NPPESJanuary 18, 2012

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