Individual
ELISHA R GREGGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
463380 STATE ROAD 200, UNIT B, YULEE, FL 32097
(904) 448-4700
Mailing address
705 WELLS RD STE 300, ORANGE PARK, FL 32073-2982
(904) 282-6331
(904) 282-4117
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
ME131991
FL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
ME131991
FL
Other
Enumeration date
07/09/2008
Last updated
08/24/2022
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