Stephen E. Grable, M.D., P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0056718 Issued in FL

Legal business name

STEPHEN E. GRABLE, M.D., P.A.

Doing business as

COMPLEMENTARY CARE CENTER

Practice address

1504 Roberts Dr
Jacksonville Beach, FL 32250-3222

Phone

(904) 247-7455

Fax

(904) 247-8550

NPI assigned

May 9, 2012

Organization subpart

No

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

Authorized official

Name

Stephen E. Grable, M.D.

Title

President

Phone

(904) 247-7455

Specialties & licenses 1

Addresses

Other names 1

• COMPLEMENTARY CARE CENTER Doing business as

Locations

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490918400000",
    "number": "1245599497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 ROBERTS DR",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503222",
            "telephone_number": "904-247-7455",
            "fax_number": "904-247-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 ROBERTS DR",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503222",
            "telephone_number": "904-247-7455",
            "fax_number": "904-247-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN E. GRABLE, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-09",
        "last_updated": "2017-03-31",
        "status": "A",
        "authorized_official_last_name": "GRABLE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-247-7455",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0056718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMPLEMENTARY CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.