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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK GREGORY

Active Sole Proprietor

MARK GREGORY is a Medical Laboratory Technician healthcare provider located in SOUTH DAYTONA, Florida. NPI 1275980153 is currently active in the NPPES registry. Verify at CMS.

Medical Laboratory Technician · SOUTH DAYTONA, FL

Registration Details

NPI Number
1275980153
Provider Type
Individual
Gender
Male
NPI Issued
May 19, 2016 (10.194341114749 yrs)
Last Updated
May 19, 2016
License
816376 (FL)
Sole Proprietor
Yes

Practice Information

Address
1718 WESTERN RD
SOUTH DAYTONA, FL, 321191932
Browse FL providers · Browse ZIP 32119
Phone
3862953159
Primary Specialty
Medical Laboratory Technician
246ZS0410X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.