Organization
GREY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOEL ESPINOZA MATEO (PRESIDENT)
(786) 310-8204
Entity
Organization
Contact information
Practice address
8825 SW 40TH ST, MIAMI, FL 33165-5409
(305) 456-1463
(786) 464-0683
Mailing address
1081 W 59TH PL, HIALEAH, FL 33012-2307
(954) 655-4689
(786) 773-5941
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/12/2019
Last updated
03/14/2021
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