Individual
MR. JOHN TOBIAS GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1995 E OAKLAND PARK BLVD, SUITE 250, FT LAUDERDALE, FL 33306-1147
(954) 791-6146
(954) 337-2733
Mailing address
1995 E OAKLAND PARK BLVD STE 250, FT LAUDERDALE, FL 33306-1149
(954) 533-2350
(954) 337-2733
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA 3649
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290491800
—
FL
Enumeration date
07/26/2006
Last updated
09/30/2019
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