Individual
RICHARD GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14547 BRUCE B DOWNS BLVD, SUITE C, TAMPA, FL 33613-2709
(813) 979-0440
(813) 355-5054
Mailing address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(813) 528-4975
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
ME65493
FL
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
ME65493
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200031493
RR MEDICARE
FL
05
—
374422100
—
FL
Enumeration date
08/20/2006
Last updated
08/26/2021
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