Individual
JAMES LANCE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1525 W CYPRESS CREEK RD, FORT LAUDERDALE, FL 33309-1831
(573) 429-8154
Mailing address
808 N FRANKLIN ST UNIT 1906, TAMPA, FL 33602-3842
(573) 429-8154
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9453566
FL
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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