Individual
DR. JAMES WILLIAM GRAYBILL III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3202 ALTERNATE 19, PALM HARBOR, FL 34683
(727) 785-0375
Mailing address
PO BOX 1123, CRYSTAL BEACH, FL 34681-1123
(727) 415-9535
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
21971
WV
207P00000X
Emergency Medicine Physician
01079292A
IN
207P00000X
Emergency Medicine Physician
Primary
ME97747
FL
2083P0901X
Public Health & General Preventive Medicine Physician
FLME 97747
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000383743
ANTHEM
—
01
—
10196
PARAMOUNT
—
05
—
277986200
—
FL
01
—
94357
BCBS OF FLORIDA
FL
Enumeration date
08/21/2006
Last updated
11/02/2023
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