IndividualActive
Mark Gregory
NPI 1275980153 · Surgical Technologist · South Daytona, FL
Provider details
- NPI number
- 1275980153
- Entity type
- Individual
- Primary specialty
- Surgical TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 816376 (FL)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
1718 Western Rd
South Daytona, FL 32119-1932
Phone: (386) 295-3159
Approximate (ZIP-level) locationGet directions
Mailing address
1718 Western Rd
South Daytona, FL 32119-1932
Registry dates
- Enumerated
- 2016-05-19
- Last updated
- 2016-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.