Individual
MRS. ANNE C GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2222 S HARBOR CITY BLVD STE 610, MELBOURNE, FL 32901-5591
(321) 723-7716
(321) 723-0604
Mailing address
2222 S HARBOR CITY BLVD STE 610, MELBOURNE, FL 32901-5591
(321) 723-7716
(321) 723-0604
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9103203
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292656301
—
FL
01
—
OU843
MEDICARE HF
FL
Enumeration date
02/08/2006
Last updated
01/25/2022
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