Grey, Roderic M

Grey, Roderic M is an sole proprietor health care provider with primary practice located at 124 Oakwood Plantation Dr , Fleming Island FL 32003-4572. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is his primary health care specialty. Grey, Roderic M can be contacted via phone (904) 505-3318.

Contact Information

Primary practice address
124 Oakwood Plantation Dr Fleming Island FL 32003-4572
Phone: (904) 505-3318
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH1859 Florida
Behavioral Health & Social Service Providers / School 103TS0200X SS598 Florida

Profile Details

NPI number 1922712496
LBN Legal business name Grey, Roderic M
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2023
Last updated Jan 10th, 2023 - 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.

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