Gray, Lelia C

Gray, Lelia C is an individual health care provider with primary practice located at 435 2Nd St Ne , Winter Haven FL 33881-4103. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Gray, Lelia C can be contacted via phone (863) 299-4567.

Contact Information

Primary practice address
435 2Nd St Ne Winter Haven FL 33881-4103
Phone: (863) 299-4567
Fax: (863) 297-9750
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP1984742 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP1984742 Florida

Profile Details

NPI number 1285982942
LBN Legal business name Gray, Lelia C
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2012
Last updated May 26th, 2015 - about 9 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 1285982942 NPPES
Florida MEDICAID 014376000

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