Gray, Michael L

Gray, Michael L is an individual health care provider with primary practice located at 6716 Nw 11Th Place Ste 200, Gainesville FL 32605-4215. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Gray, Michael L can be contacted via phone (352) 331-9729.

Contact Information

Primary practice address
6716 Nw 11Th Place Ste 200 Gainesville FL 32605-4215
Phone: (352) 331-9729
Fax: (352) 331-0136
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9106653 Florida

Profile Details

NPI number 1073873949
LBN Legal business name Gray, Michael L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2012
Last updated Apr 19th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073873949 NPPES
Florida Other P01080536 RAILROAD MEDICARE
Florida Other Y0C4P RAILROAD MEDICARE
Florida MEDICAID 006304500 RAILROAD MEDICARE
Florida Other P01080540 RAILROAD MEDICARE

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