Healthcare Provider Details

I. General information

NPI: 1952863193
Provider Name (Legal Business Name): GREGORY AUSTIN MAY DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2019
Last Update Date: 06/05/2023
Certification Date: 06/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4325 SUN N LAKE BLVD
SEBRING FL
33872-2171
US

IV. Provider business mailing address

375 W LAKE FAITH DR
MAITLAND FL
32751-4318
US

V. Phone/Fax

Practice location:
  • Phone: 863-402-3763
  • Fax:
Mailing address:
  • Phone: 407-741-3381
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: