Mcbride, G Grady

Mcbride, G Grady is an individual health care provider with primary practice located at 25 W Crystal Lake St Suite 200, Orlando FL 32806-4475. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Mcbride, G Grady can be contacted via phone (407) 254-2500.

Contact Information

Primary practice address
25 W Crystal Lake St Suite 200 Orlando FL 32806-4475
Phone: (407) 254-2500
Fax: (407) 254-2557
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 0042321 Florida

Profile Details

NPI number 1780655597
LBN Legal business name Mcbride, G Grady
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Mar 10th, 2010 - about 14 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 1780655597 NPPES
Florida MEDICAID 067648900

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