Individual
ANGELIS GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1345 NW 7TH AVE, FORT LAUDERDALE, FL 33311-6059
(504) 458-2966
Mailing address
1345 NW 7TH AVE, FORT LAUDERDALE, FL 33311-6059
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11036111
FL
Other
Enumeration date
04/04/2025
Last updated
04/04/2025
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