Kristen David Gray in Ormond Beach - Family Medicine

Kristen David Gray - NPI 1861481517

Kristen David Gray is a Family Medicine in Ormond Beach, Florida. Kristen David Gray practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kristen David Gray is 1861481517. The last update date is 2022-11-08.

Kristen David Gray's current location address is 290 Clyde Morris Blvd Ste C2, Ormond Beach, Florida. You can contact this provider via phone number 3862596026. The mailing address for Kristen David Gray is 290 Clyde Morris Blvd Ste C2, Ormond Beach, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Kristen David Gray
Address 290 Clyde Morris Blvd Ste C2, Ormond Beach, Florida
Phone Number 3862596026
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1861481517
Provider Enumeration Date 2005-10-17
Last Updated Date 2022-11-08

Provider Mailing Address Detail

Address 290 Clyde Morris Blvd Ste C2
City Ormond Beach
State Florida (FL)
Post Code 321748204
Phone Number 3862596026
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No ME85090
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
593339550 FL TAX IDENTIFICATION NUMBER
592696120 FL TAX IDENIFICATION
264274300 FL --
K9529 FL MEDICARE GROUP NUMBER
593339550 FL WINTER PARK FAMILY HEALTH CENT

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FAQs about Kristen David Gray

What is the unique 10-digit identification code assigned to Kristen David Gray by the Centers for Medicare & Medicaid Services?

The Kristen David Gray has been issued the NPI (National Provider Identifier) 1861481517, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Kristen David Gray's physical address?

The Kristen David Gray is physically located at 290 Clyde Morris Blvd Ste C2, in the city of Ormond Beach, FL, with the postal code 321748204.

What is Kristen David Gray's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Kristen David Gray is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1861481517 to Kristen David Gray?

The Centers for Medicare & Medicaid Services originally issued the 1861481517 to Kristen David Gray on 2005-10-17.

As of what date were the details pertaining to Kristen David Gray last refreshed?

The information related to the Kristen David Gray, including its address, specialty, and other relevant details, was last updated on 2022-11-08.

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