Organization
JOHN M GRAVES DO LLC
Active
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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