IndividualActive
Paul Grenelle, P.A.
NPI 1982901856 · Medical Physician Assistant · Daytona Beach, FL
Provider details
- NPI number
- 1982901856
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.
- Sex
- Male
- Sole proprietor
- No
- License
- PA9105871 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
303 No. Clyde Morris Blvd.
Halifax Medical Center
Daytona Beach, FL 32114-2709
Phone: (386) 425-2285
Fax: (386) 425-7522
Street-level locationGet directions
Mailing address
Po Box 864074
Orlando, FL 32886-4074
Registry dates
- Enumerated
- 2011-02-11
- Last updated
- 2012-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.