Individual
GREGORY WAYNE FLIPPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1600 S ANDREWS AVE, FORT LAUDERDALE, FL 33316-2510
(954) 712-6356
Mailing address
1600 S ANDREWS AVE, FORT LAUDERDALE, FL 33316-2510
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
05892
KY
208D00000X
General Practice Physician
Primary
OS19688
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/26/2021
Last updated
01/13/2026
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