Betton, Gregory Wayne

Betton, Gregory Wayne is an individual health care provider with primary practice located at 600 E Dixie Ave , Leesburg FL 34748-5925. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Betton, Gregory Wayne can be contacted via phone (321) 480-5017.

Contact Information

Primary practice address
600 E Dixie Ave Leesburg FL 34748-5925
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME80681 Florida

Profile Details

NPI number 1528061660
LBN Legal business name Betton, Gregory Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated May 7th, 2008 - about 17 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 1528061660 NPPES
Florida MEDICAID 259398000
Florida Other 35744

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