Organization
ANTHONY C GRAY SR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY C GRAY SR. CRNA (PRESIDENT)
(352) 332-3306
Entity
Organization
Contact information
Practice address
2521 NW 41ST ST, GAINESVILLE, FL 32606-6630
(352) 377-7733
Mailing address
2521 NW 41ST ST, GAINESVILLE, FL 32606-6630
(352) 377-7733
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP1984732
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G1512
BCBS
—
Enumeration date
10/17/2007
Last updated
03/11/2008
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