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Organization
FLORIDA PRACTITIONERS, LLC
Active
Organization
FLORIDA PRACTITIONERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN TOBIAS GRAY PA-C (CEO)
(615) 657-4800
Entity
Organization
Contact information
Practice address
703 N FLAMINGO RD, PEMBROKE PINES, FL 33028-1006
(615) 657-4800
Mailing address
3310 WEST END AVE STE 620, NASHVILLE, TN 37203-6910
(615) 657-4800
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA3649
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020654300
—
FL
Enumeration date
12/29/2014
Last updated
09/01/2026
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