Individual
MR. GREGORY GRAVES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
(954) 939-5000
Mailing address
4895 SHALIMAR LN APT 11102, DAVIE, FL 33328-7168
(321) 543-1516
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA1152
FL
Other
Enumeration date
08/27/2025
Last updated
10/22/2025
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