Gray, Elaina
Gray, Elaina is an individual health care provider with primary practice located at 111 W Magnolia Ave , Longwood FL 32750-4130. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Gray, Elaina can be contacted via phone (407) 327-1765.Contact Information
Primary practice address
111 W Magnolia Ave
Longwood FL 32750-4130
Phone: (407) 327-1765
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | IMH15718 | Florida |
Profile Details
| NPI number | 1225540750 |
|---|---|
| LBN Legal business name | Gray, Elaina |
| Credentials | MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2017 |
| Last updated | Oct 24th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225540750 | NPPES |
| Florida | Other | 0000 | COMMERCIAL INSURANCE |
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