Individual
MR. COLE DOUGLAS GREVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
207 W GORE ST STE 300, ORLANDO, FL 32806-1014
(321) 841-8555
(321) 841-2425
Mailing address
207 W GORE ST STE 300, ORLANDO, FL 32806-1014
(321) 841-8555
(321) 841-2425
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
ME96115
FL
207VM0101X
Maternal & Fetal Medicine Physician
243815
NY
207VM0101X
Maternal & Fetal Medicine Physician
Primary
ME96115
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004443000
—
FL
01
—
ME96115
MEDICAL LICENSE
FL
Enumeration date
04/24/2007
Last updated
10/26/2020
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