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Organization

KIMBERLY GRAY-WHITE MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY M GRAY-WHITE MD (MD)
(813) 229-1924
Entity
Organization

Contact information

Practice address
508 W DR MARTIN LUTHER KING JR BLVD, SUITE A, TAMPA, FL 33603-3415
(954) 229-1924
Mailing address
508 W DR. MARTIN LUTHER KING JR BLVD, SUITE A, TAMPA, FL 33603
(954) 229-1924

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
ME110366
FL

Other

Enumeration date
10/14/2014
Last updated
10/14/2014
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