Clifford Gray in Jacksonville - Addiction (substance Use Disorder)

Clifford Gray - NPI 1881722791

Clifford Gray is a Addiction (substance Use Disorder) in Jacksonville, Florida. Clifford Gray practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Clifford Gray is 1881722791. The last update date is 2007-07-08.

Clifford Gray's current location address is 660 Park St, Jacksonville, Florida. You can contact this provider via phone number 9048996300 and fax number 9048996380. The mailing address for Clifford Gray is 660 Park St, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Clifford Gray
Address 660 Park St, Jacksonville, Florida
Phone Number 9048996300
Fax Number 9048996380
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1881722791
Provider Enumeration Date 2007-03-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 660 Park St
City Jacksonville
State Florida (FL)
Post Code 322042933
Phone Number 9048996300
Fax Number 9048996380

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3087 FL CAP

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FAQs about Clifford Gray

What is the Clifford Gray's 1881722791?

The Clifford Gray's NPI (National Provider Identifier) Number is 1881722791. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Clifford Gray is geographically located?

The Clifford Gray is physically situated at the following location: 660 Park St, Jacksonville, FL, 322042933.

What is Clifford Gray's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Clifford Gray is Addiction (substance Use Disorder), and the corresponding taxonomy classification code for this specialized field is 101Ya0400X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1881722791 to Clifford Gray?

The Centers for Medicare & Medicaid Services originally issued the 1881722791 to Clifford Gray on 2007-03-01.

As of what date was the information pertaining to Clifford Gray, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Clifford Gray, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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