# FLORIDA PRACTITIONERS, INC

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

## Provider details

- **NPI number:** 1659775393
- **Authorized official:** MR. JOHN GRAY (CEO)
- **Authorized official phone:** (954) 292-8657

## Contact information

- **Practice address:** 4220 WALLACE LN, NASHVILLE, TN 37215-3232
- **Practice address phone:** (954) 292-8657
- **Mailing address:** 4220 WALLACE LN, NASHVILLE, TN 37215-3232
- **Mailing address phone:** (954) 292-8657

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AM0700X | Medical Physician Assistant | PA3649 | FL | — |
| 363AS0400X | Surgical Physician Assistant | PA3649 | FL | Yes |

## Other

- **Enumeration date:** 10/09/2014
- **Last updated:** 10/09/2014
