Gresh, John Prospero
Gresh, John Prospero is an sole proprietor health care provider with primary practice located at 3301 Sw 34Th Cir Suite 101, Ocala FL 34474-6621. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Gresh, John Prospero can be contacted via phone (352) 861-0100.Contact Information
Primary practice address
3301 Sw 34Th Cir Suite 101
Ocala FL 34474-6621
Phone: (352) 861-0100
Fax: (352) 861-1119
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 0049373 | Florida |
Profile Details
| NPI number | 1700888559 |
|---|---|
| LBN Legal business name | Gresh, John Prospero |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Jan 29th, 2014 - about 12 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 | 1700888559 | NPPES |
| Florida | MEDICAID | 253616100 | |
| Florida | Other | BCBS |
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