Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | ME66264 | FL |
NPI | 1033128269 |
---|---|
Provider Name | Gregory James England |
First Address | Birmingham, AL 35246-1431 |
Second Address | Panama City, FL 32401 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 17/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010394600 | (05) | FL |
251893700 | (05) | FL |
32993C | BCBS PROVIDER NUMBER (01) | FL |
32993C | MEDICARE PROVIDER NUMBER (01) | FL |
77694 | MEDICARE/BCBS GROUP NUMBE (01) | FL |
F92748 | (02) |