Baggerly, Gregory C.

Baggerly, Gregory C. is an individual health care provider with primary practice located at 620 10Th Street N. , St Petersburg FL 33705-1407. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Baggerly, Gregory C. can be contacted via phone (727) 824-8300.

Contact Information

Primary practice address
620 10Th Street N. St Petersburg FL 33705-1407
Fax: (727) 824-8313
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS7430 Florida

Profile Details

NPI number 1265427736
LBN Legal business name Baggerly, Gregory C.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Mar 28th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265427736 NPPES
Florida MEDICAID 264931400

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