| Donna Raye Grumblis, FNP | |
| 1700 S 23rd St, Fort Pierce, FL 34950-4803 | |
| (772) 461-4000 | |
| Not Available | 
| Full Name | Donna Raye Grumblis | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 1700 S 23rd St, Fort Pierce, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1093599417 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11028232 (Florida) | Primary | 
| Entity Name | Pcc Medical Holdings Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1174167993 PECOS PAC ID: 0446679468 Enrollment ID: O20200924001757 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Donna Raye Grumblis, FNP 7004 Donlon Rd, Fort Pierce, FL 34951-1834 Ph: (177) 235-9699 | Donna Raye Grumblis, FNP 1700 S 23rd St, Fort Pierce, FL 34950-4803 Ph: (772) 461-4000 | 
| Ms. Kelli Kraaz, ARNP- FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3307 N Indian River Dr, Fort Pierce, FL 34946 Phone: 772-528-5991 | |
| Arielle Tango, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2504 Acorn St Ste A, Fort Pierce, FL 34947 Phone: 772-837-7800 Fax: 772-837-7801 | |
| Mrs. Denise Angele Joseph, A.R.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2401 Frist Blvd, Suite 3, Fort Pierce, FL 34950 Phone: 772-429-3400 Fax: 772-429-3410 | |
| Ms. Nancy Lee Harris, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5600 N Us Highway 1 # Le214, Fort Pierce, FL 34946 Phone: 772-242-2420 | |
| Tammy Mae Holmes, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1423 S Us Highway 1, Fort Pierce, FL 34950 Phone: 772-466-6855 Fax: 772-464-6983 | |
| Natalie Gordon, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2401 Frist Blvd Ste 1, Fort Pierce, FL 34950 Phone: 772-464-0033 | |
| Christine Palmer Monday, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 S 23rd St, Fort Pierce, FL 34950 Phone: 772-461-4000 |