Individual
GREGORY F PAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1336 CREEKSIDE BLVD, STE 1, NAPLES, FL 34108-1931
(239) 261-1158
(239) 261-4232
Mailing address
PO BOX 413012, NAPLES, FL 34101-3012
(239) 261-1158
(239) 261-4232
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME92511
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME92511
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01371
BLUE CROSS BLUE SHIELD
—
05
—
271868500
—
FL
Enumeration date
10/31/2005
Last updated
06/03/2024
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