Mines, Gregory

Mines, Gregory is an individual health care provider with primary practice located at 1615 Pasadena Ave S Ste 200 , South Pasadena FL 33707-4518. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Mines, Gregory can be contacted via phone (813) 978-9700.

Contact Information

Primary practice address
1615 Pasadena Ave S Ste 200 South Pasadena FL 33707-4518
Phone: (813) 978-9700
Fax: (813) 558-6185
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X ME141695 Florida

Profile Details

NPI number 1326545682
LBN Legal business name Mines, Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2018
Last updated Jul 26th, 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.

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