Individual
RALPH GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4048 EVANS AVE, SUITE 303, FT MYERS, FL 33901-9322
(239) 332-5344
(239) 332-7246
Mailing address
851 TRAFALGAR CT, STE 200E, MAITLAND, FL 32751-7420
(407) 667-0444
(407) 667-4338
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME0058967
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050028812
MCRR
FL
05
—
052607000
—
FL
01
—
0867335
CIGNA
FL
01
—
11737
BSFL
FL
01
—
11737Z
MCR
FL
01
—
790501
AETNA
FL
Enumeration date
10/26/2005
Last updated
01/09/2019
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