Individual
ADELAIDA GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
12751 WESTLINKS DR, FORT MYERS, FL 33913-8615
(239) 744-2300
Mailing address
12751 WESTLINKS DR, FORT MYERS, FL 33913-8615
(239) 744-2300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP2951012
FL
363LF0000X
Family Nurse Practitioner
ARNP2951012
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1249034
WELLCARE
FL
05
—
308158300
—
FL
01
—
398577
AVMED
FL
01
—
9279891
AETNA
FL
01
—
P01318679
RR MEDICARE
FL
01
—
P114547
FREEDOM
FL
01
—
P954066
OPTIMUM
FL
01
—
Y114U
BCBS OF FL
FL
Enumeration date
07/11/2006
Last updated
10/16/2025
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