Jefferson, Gregory

Jefferson, Gregory is an individual health care provider with primary practice located at 909 N Dale Mabry Hwy , Tampa FL 33609-1251. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is his primary health care specialty. Jefferson, Gregory can be contacted via phone (813) 978-9700.

Contact Information

Primary practice address
909 N Dale Mabry Hwy Tampa FL 33609-1251
Phone: (813) 978-9700
Fax: (813) 558-6419
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 008374 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X PT23292 Florida

Profile Details

NPI number 1174602031
LBN Legal business name Jefferson, Gregory
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Oct 21st, 2015 - about 11 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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