Provider Demographics
NPI:1477982866
Name:FINNIE, GREGORY K SR
Entity type:Individual
Prefix:
First Name:GREGORY
Middle Name:K
Last Name:FINNIE
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8980 SE 88TH ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34472-3015
Mailing Address - Country:US
Mailing Address - Phone:352-427-0519
Mailing Address - Fax:
Practice Address - Street 1:8980 SE 88TH ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34472-3015
Practice Address - Country:US
Practice Address - Phone:352-427-0519
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-05
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator