Individual provider · Type 1 NPI
Earle C. Grey, PA
Surgical Physician Assistant · Tampa, FL
NPI number
1104982628
Active
Practice location
2727 W Dr Mlk Blvd Ste 460
Tampa, FL 33607-6001
Fax (813) 873-2391
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | PA9108320 (FL) |
Surgical Physician Assistant: Definition to come...
Another provider at this address
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About NPI 1104982628
Earle C. Grey, PA's National Provider Identifier is 1104982628, issued on Dec 29, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Tampa, FL. The record was last updated on May 11, 2023.