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Contact Information

GREGORY MINES, MD
1615 PASADENA AVE S STE 200
SOUTH PASADENA, FL33707-4518
 Phone: 813-978-9700
 Fax: 813-558-6185
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for GREGORY MINES · (Male)

NPI Number 1326545682
Status Active
Credentials MD
Entity Individual
Enumeration date 04/12/2018
Last updated 07/26/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME141695
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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