Organization · NPI-2

Anthony C Gray Sr LLC

Nurse Anesthetist, Certified Registered · Gainesville, FL

NPI number1437348307
StatusActive
Last updated in NPPESMar 11, 2008

Details

NPI
1437348307
Entity type
Organization (NPI-2)
Legal business name
Anthony C Gray Sr LLC
Organization subpart
No
Enumeration date
Oct 17, 2007
Last updated
Mar 11, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified RegisteredARNP1984732FLYes

Practice location

2521 Nw 41st St
Gainesville, FL 32606-6630

Phone 352-377-7733

Mailing address

2521 Nw 41st St
Gainesville, FL 32606-6630

Phone 352-377-7733

Authorized official

Anthony C Gray
President
3523323306

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