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Organization

JOHN M GRAVES DO LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN M GRAVES (OWNER)
(352) 351-1200
Entity
Organization

Contact information

Practice address
2207 SW 1ST AVE, OCALA, FL 34471-8105
(352) 351-1200
(352) 351-1850
Mailing address
PO BOX 3123, ST AUGUSTINE, FL 32085-3123
(904) 824-4990
(904) 824-2226

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS6266
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
371047500
FL
01
80699
BCBS
FL
01
DG7024
RR MEDICARE
FL
Enumeration date
09/20/2007
Last updated
03/30/2009
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