Individual
GREGORY ONEAL BLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
2201 45TH ST, WEST PALM BEACH, FL 33407-2047
(561) 842-6141
Mailing address
1012 S 12TH ST, LANTANA, FL 33462-4432
(888) 540-5553
(561) 623-0126
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
3828
FL
363AS0400X
Surgical Physician Assistant
3828
FL
Other
Enumeration date
01/20/2012
Last updated
10/22/2021
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