Gray, John Tobias
Gray, John Tobias is an individual health care provider with primary practice located at 1995 E Oakland Park Blvd Suite 250, Ft Lauderdale FL 33306-1147. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Gray, John Tobias can be contacted via phone (954) 791-6146.Contact Information
Primary practice address
1995 E Oakland Park Blvd Suite 250
Ft Lauderdale FL 33306-1147
Phone: (954) 791-6146
Fax: (954) 337-2733
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA 3649 | Florida |
Profile Details
| NPI number | 1992729685 |
|---|---|
| LBN Legal business name | Gray, John Tobias |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Sep 30th, 2019 - about 5 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 | 1992729685 | NPPES |
| Florida | MEDICAID | 290491800 |
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