Organization
GREGORY L. NEDURIAN, M.D., P.A.
Active
Other names
Gregory L. Nedurian, M.D., P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY L. NEDURIAN M.D. (CORPORATE PRESIDENT)
(863) 687-0550
Entity
Organization
Contact information
Practice address
521 BUENA VISTA ST, LAKELAND, FL 33805-4504
(863) 687-0550
(863) 682-7700
Mailing address
521 BUENA VISTA ST, LAKELAND, FL 33805-4504
(863) 687-0550
(863) 682-7700
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME0090819
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270400500
—
FL
01
—
P00279741
RAILROAD MEDICARE
FL
Enumeration date
03/15/2007
Last updated
04/23/2008
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