Kaufman, Gregory C.
Kaufman, Gregory C. is an individual health care provider with primary practice located at 3050 1St Ave S , St Petersburg FL 33712-1010. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Kaufman, Gregory C. can be contacted via phone (727) 328-3285.Contact Information
Primary practice address
3050 1St Ave S
St Petersburg FL 33712-1010
Phone: (727) 328-3285
Fax: (727) 328-5509
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH 697 | Florida |
Profile Details
| NPI number | 1760525844 |
|---|---|
| LBN Legal business name | Kaufman, Gregory C. |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Feb 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760525844 | NPPES |
| Florida | MEDICAID | 764638100 |
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