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Organization
FLORIDA PRACTITIONERS, INC
Active
Organization
FLORIDA PRACTITIONERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN GRAY (CEO)
(954) 292-8657
Entity
Organization
Contact information
Practice address
4220 WALLACE LN, NASHVILLE, TN 37215-3232
(954) 292-8657
Mailing address
4220 WALLACE LN, NASHVILLE, TN 37215-3232
(954) 292-8657
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA3649
FL
363AS0400X
Surgical Physician Assistant
Primary
PA3649
FL
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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