# GREGORY N BAILEY PAC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235324435
- **Authorized official:** GREGORY N BAILEY P.A. (PRESIDENT)
- **Authorized official phone:** (305) 558-9522

## Contact information

- **Practice address:** 6175 NW 153RD ST, SUITE 301, MIAMI LAKES, FL 33014-2435
- **Practice address phone:** (305) 558-9522
- **Practice address fax:** (305) 558-9520
- **Mailing address:** 6175 NW 153RD ST, SUITE 301, MIAMI LAKES, FL 33014-2435
- **Mailing address phone:** (305) 558-9522
- **Mailing address fax:** (305) 558-9520

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA 9101559 | FL | Yes |

## Other

- **Enumeration date:** 09/11/2007
- **Last updated:** 09/11/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | PA 9101559 | PROF LICENSE | FL |