KIMBERLY GRAY-WHITE MD PA
Medical Laboratory at Dr Martin Luther King Jr Blvd, Tampa, FL

License number
Florida ME110366
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: KIMBERLY M GRAY-WHITE MD
Title: MD
Phone: (813) 229-1924
Address
Address
508 W Dr Martin Luther King Jr Blvd SUITE A, Tampa, FL 33603
National Provider ID: 1851795223
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KIMBERLY GRAY-WHITE M.D. PA

Tampa, FL

Industry:
Business Services at Non-Commercial Site
Registration:
Aug 19, 2013
Addresses:
508 W Dr Martin Luther King Jr Blvd SUITE A, Tampa, FL 33603 (Physical)
10539 Martinique Isle Dr, Tampa, FL 33647 (Mailing)
State ID:
P13000067857
Business type:
Florida Profit Corporation
President:
Kimberly Gray-White (President), 10539 Martinique Isle Dr, Tampa, FL 33647 (Physical)
Agent:
Gray-White, Kimberly, M.d,10539 Martinique Isle Dr, Tampa, FL 33647 (Physical)
EIN:
32-0416059

DR Kimberly Gray-White MD Pa

508 W Martin Luther King Blvd, Tampa, FL 33603

Categories:
Physicians & Surgeons
Phone:
(813) 229-1924 (Phone)

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