Gregg, Anne C
Gregg, Anne C is an individual health care provider with primary practice located at 2222 S Harbor City Blvd Ste 610 , Melbourne FL 32901-5591. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gregg, Anne C can be contacted via phone (321) 723-7716.Contact Information
Primary practice address
2222 S Harbor City Blvd Ste 610
Melbourne FL 32901-5591
Phone: (321) 723-7716
Fax: (321) 723-0604
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9103203 | Florida |
Profile Details
| NPI number | 1295708568 |
|---|---|
| LBN Legal business name | Gregg, Anne C |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Jan 25th, 2022 - about 2 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 | 1295708568 | NPPES |
| Florida | MEDICAID | 292656301 | |
| Florida | Other | OU843 |
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