Keith A Gray Md Pa in Orlando - Internal Medicine
Keith A Gray Md Pa - NPI 1720090749
Keith A Gray Md Pa is a Internal Medicine in Orlando, Florida. Keith A Gray Md Pa practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Keith A Gray Md Pa is 1720090749. The last update date is 2011-04-20.
Keith A Gray Md Pa's current location address is Po Box 568987, Orlando, Florida. You can contact this provider via phone number 4074239920 and fax number 4074230545. The mailing address for Keith A Gray Md Pa is Po Box 568987, Orlando, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Keith A Gray Md Pa |
|---|---|
| Address | Po Box 568987, Orlando, Florida |
| Phone Number | 4074239920 |
| Fax Number | 4074230545 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Wyche Y Wisteria |
| Telephone Number | 4078395063 |
NPI Number Detail
| NPI Number | 1720090749 |
|---|---|
| Provider Enumeration Date | 2006-08-12 |
| Last Updated Date | 2011-04-20 |
Provider Mailing Address Detail
| Address | Po Box 568987 |
|---|---|
| City | Orlando |
| State | Florida (FL) |
| Post Code | 328568987 |
| Phone Number | 4074239920 |
| Fax Number | 4074230545 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | ME41485 |
|
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 255117900 | FL | -- | |
| 47582 | FL | BC/BS |
Post Comment/ Review Below
What is the Keith A Gray Md Pa's 1720090749?
The Keith A Gray Md Pa's NPI (National Provider Identifier) Number is 1720090749. 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 Keith A Gray Md Pa is geographically located?
The Keith A Gray Md Pa is physically situated at the following location: Po Box 568987, Orlando, FL, 328568987.
What is Keith A Gray Md Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Keith A Gray Md Pa's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.
On what date did the Keith A Gray Md Pa receive its 1720090749 assignment from the Centers for Medicare & Medicaid Services?
The Keith A Gray Md Pa was assigned its 1720090749 by the Centers for Medicare & Medicaid Services on 2006-08-12.
As of what date was the information pertaining to Keith A Gray Md Pa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Keith A Gray Md Pa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-04-20.
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