Disla, Gregory Rafael

Disla, Gregory Rafael is an sole proprietor health care provider with primary practice located at 216 S Seminole Ave , Inverness FL 34452-4738. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Disla, Gregory Rafael can be contacted via phone (352) 560-0333.

Contact Information

Primary practice address
216 S Seminole Ave Inverness FL 34452-4738
Phone: (352) 560-0333
Fax: (813) 931-1427
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11003473 Florida

Profile Details

NPI number 1376197541
LBN Legal business name Disla, Gregory Rafael
Credentials FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2019
Last updated Jan 4th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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