Florida Practitioners, LLC
NPI 1528456548ActiveOrganization· Physician Assistant, Surgical· Pembroke Pines, FL
Physician Assistant, Surgical in Pembroke Pines, Florida, registered in NPPES in December 2014. The authorized official on file is John Tobias Gray, PA-C, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1528456548 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 29, 2014 |
| Last updated in NPPES | Sep 1, 2026 |
| Certified by provider | Sep 1, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | PA3649 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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