Individual
CHANCELLOR FOLSOM GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7540 W UNIVERSITY AVE, GAINESVILLE, FL 32607-7609
(352) 647-9700
(352) 525-4902
Mailing address
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0915
(813) 978-9700
(813) 558-6185
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MT192846
PA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
ME124154
FL
Other
Enumeration date
06/26/2008
Last updated
09/28/2023
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