Individual
DIANE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1035 PRIMERA BLVD, LAKE MARY, FL 32746-2193
(407) 333-3040
(407) 333-3496
Mailing address
1035 PRIMERA BLVD, LAKE MARY, FL 32746-2193
(407) 333-3040
(407) 333-3496
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
9262794
FL
Other
Enumeration date
03/04/2013
Last updated
03/04/2013
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