Gray, Richard
Gray, Richard is an individual health care provider with primary practice located at 14547 Bruce B Downs Blvd Suite C, Tampa FL 33613-2709. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Gray, Richard can be contacted via phone (813) 979-0440.Contact Information
Primary practice address
14547 Bruce B Downs Blvd Suite C
Tampa FL 33613-2709
Phone: (813) 979-0440
Fax: (813) 355-5054
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ME65493 | Florida |
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | ME65493 | Florida |
Profile Details
| NPI number | 1851406755 |
|---|---|
| LBN Legal business name | Gray, Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Aug 26th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851406755 | NPPES |
| Florida | Other | 200031493 | RR MEDICARE |
| Florida | MEDICAID | 374422100 | RR MEDICARE |
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