Individual
DR. CYNTHIA JANE GRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., MSC
Contact information
Practice address
1505 SW ARCHER RD, GAINESVILLE, FL 32608-1134
(352) 265-0111
Mailing address
PO BOX 100225, GAINESVILLE, FL 32610-0225
(352) 273-8737
(352) 273-9154
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD438817
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD438817
PA
207RP1001X
Pulmonary Disease Physician
Primary
MD438817
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8436438
—
WA
Enumeration date
05/27/2006
Last updated
12/06/2022
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