Individual
MR. EARLE C. GREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2727 W DR MLK BLVD STE 460, TAMPA, FL 33607-6001
(813) 879-4328
(813) 873-2391
Mailing address
2727 W DR MLK BLVD STE 460, TAMPA, FL 33607-6001
(813) 879-4328
(813) 873-2391
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9108320
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013890700
—
FL
Enumeration date
12/29/2006
Last updated
05/11/2023
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