Individual
GREGORY L GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASEMANAGER
Contact information
Practice address
821 DOUGLAS AVE, 185, ALTAMONTE SPRINGS, FL 32714-5210
(407) 703-5959
Mailing address
821 DOUGLAS AVE, 185, ALTAMONTE SPRINGS, FL 32714-5210
(407) 703-5959
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003564600
—
FL
Enumeration date
05/30/2013
Last updated
05/30/2013
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