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Individual
DR. TREVOR S GRAVELY
Active
Individual
DR. TREVOR S GRAVELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME151950
FL
208600000X
Surgery Physician
ME151950
FL
2086S0102X
Surgical Critical Care Physician
ME151950
FL
2086S0127X
Trauma Surgery Physician
Primary
90083
SC
2086S0127X
Trauma Surgery Physician
ME151950
FL
Other
Enumeration date
06/22/2016
Last updated
10/04/2024
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