Healthcare Provider Details

I. General information

NPI: 1033128269
Provider Name (Legal Business Name): GREGORY JAMES ENGLAND MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 07/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 E 6TH STREET SUITE 309
PANAMA CITY FL
32401
US

IV. Provider business mailing address

PO BOX 11407
BIRMINGHAM AL
35246-1431
US

V. Phone/Fax

Practice location:
  • Phone: 850-785-9559
  • Fax: 850-770-3026
Mailing address:
  • Phone: 361-572-0333
  • Fax: 361-371-7090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License NumberME66264
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: