Mines, Gregory
Mines, Gregory is an individual health care provider with primary practice located at 1615 Pasadena Ave S Ste 200 , South Pasadena FL 33707-4518. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Mines, Gregory can be contacted via phone (813) 978-9700.Contact Information
Primary practice address
1615 Pasadena Ave S Ste 200
South Pasadena FL 33707-4518
Phone: (813) 978-9700
Fax: (813) 558-6185
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | ME141695 | Florida |
Profile Details
| NPI number | 1326545682 |
|---|---|
| LBN Legal business name | Mines, Gregory |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2018 |
| Last updated | Jul 26th, 2022 - about 3 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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