Individual
DR. JOHN PROSPERO GRESH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3301 SW 34TH CIR, SUITE 101, OCALA, FL 34474-6621
(352) 861-0100
(352) 861-1119
Mailing address
3301 SW 34TH CIR, SUITE 101, OCALA, FL 34474-6621
(352) 861-0100
(352) 861-1119
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0049373
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253616100
—
FL
01
—
BCBS
08641
FL
Enumeration date
08/11/2005
Last updated
01/29/2014
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