Gref, Roger

Gref, Roger is an individual health care provider with primary practice located at 3292 County Road 220 , Middleburg FL 32068-4357. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Gref, Roger can be contacted via phone (904) 291-5561.

Contact Information

Primary practice address
3292 County Road 220 Middleburg FL 32068-4357
Phone: (904) 291-5561
Fax: (904) 291-5575
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CAP1741 Florida

Profile Details

NPI number 1639188485
LBN Legal business name Gref, Roger
Credentials CAP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Jul 9th, 2007 - about 18 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 1639188485 NPPES
Florida MEDICAID 763771300

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