NPIMap

Organization Active NPI

Grema Medical Services, LLC

  • Clinic/Center
  • Port Saint Lucie, FL
National Provider Identifier
1245474238
Registry record updated Nov 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
GREMA MEDICAL SERVICES, LLC
Practice address
1362 SW Bayshore Blvd
Port Saint Lucie, FL 34983
Phone
(772) 873-5213
Fax
(772) 873-5215
NPI assigned
Apr 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jean Marie Gregoire Eugene, M.D.
Title
General Practice
Phone
(772) 873-5213

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X ME0043064 FL
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1362 SW Bayshore Blvd
Port Saint Lucie, FL 34983

Mailing address

1362 SW Bayshore Blvd
Port Saint Lucie, FL 34983
Phone (772) 873-5213

Other identifiers 1

IdentifierTypeStateIssuer
E12078OtherFLUPIN

Other names 1

  • Grema Medical Services Former legal business name

National Provider Directory

National Provider Directory

Locations

1881 W Oakland Park Blvd
Oakland Park, FL 33311
Phone (954) 739-9009

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510790400000",
    "number": "1245474238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1362 SW BAYSHORE BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "34983",
            "telephone_number": "772-873-5213",
            "fax_number": "772-873-5215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1362 SW BAYSHORE BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "34983",
            "telephone_number": "772-873-5213",
            "fax_number": "772-873-5215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREMA MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-22",
        "last_updated": "2017-11-16",
        "status": "A",
        "authorized_official_last_name": "EUGENE",
        "authorized_official_first_name": "JEAN MARIE",
        "authorized_official_middle_name": "GREGOIRE",
        "authorized_official_title_or_position": "GENERAL PRACTICE",
        "authorized_official_telephone_number": "772-873-5213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME0043064",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "E12078",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grema Medical Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.