Individual
GERALD WILLIAM GRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4300 BAYOU BLVD, SUITE 17B, PENSACOLA, FL 32503-1949
(718) 916-7551
(850) 602-9013
Mailing address
4300 BAYOU BLVD, SUITE 17B, PENSACOLA, FL 32503-1949
(718) 916-7551
(850) 602-9013
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
0101240009
VA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME114483
FL
Other
Enumeration date
11/04/2005
Last updated
11/09/2016
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