Individual
DR. GREGORY WILLIAM BASIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1611 NW 12TH AVE, DEPARTMENT OF NEUROSURGERY, MIAMI, FL 33136-1005
(305) 585-1111
Mailing address
1475 NW 12TH AVE, MIAMI, FL 33136-1002
(305) 243-4000
(305) 243-3337
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME154718
FL
Other
Enumeration date
03/26/2015
Last updated
08/05/2024
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