DR. SANJIV FITZ-MORRIS GRAY (NPI# 1992930499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992930499 |
| Entity Type | Individual |
| Full Name | DR. SANJIV FITZ-MORRIS GRAY |
| Credential | M.D. |
| Practice Address |
1324 Lakeland Hills Blvd Lakeland FL 33805-4543 |
| Mailing Address |
1324 Lakeland Hills Blvd Managed Care Dept Lakeland FL 33805 |
| Practice Telephone | 8636871259 |
| Practice Fax Number | 8636871730 |
| Mailing Telephone | 8636871100 |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2020-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
280652 | NY | Allopathic & Osteopathic Physicians |
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
ME121713 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3030 Harden Blvd, Lakeland, FL 338037952 | 8632843970 | 8632843971 |
| Street Address |
1324 LAKELAND HILLS BLVD |
| City | LAKELAND |
| State | FL |
| Zip Code | 33805-4543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760489900 | James Francis Murray II | Obstetrics & Gynecology | 1324 Lakeland Hills Blvd, Pavilion, Lakeland, FL 33508 | 2005-07-01 |
| 1144821059 | Jennifer Mclaughlin | Nurse Practitioner | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2020-11-06 |
| 1861092595 | Hortense Marcia Watson | Registered Nurse | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2020-10-30 |
| 1073129953 | Lilia Yakubov | Nurse Practitioner | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2020-09-16 |
| 1093340374 | Rashika Battle | Nurse Practitioner | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2020-03-07 |
| 1871128363 | Maria Lana Barnes | Registered Nurse | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2020-03-05 |
| 1710519129 | Joshua Parker Thompson | Nurse Practitioner | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2020-02-04 |
| 1932741683 | Katie Elizabeth Deines | Registered Nurse | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2019-10-15 |
| 1700428968 | Jasmine Nazirbage | Nurse Practitioner | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2019-10-09 |
| 1578104824 | Kristopher Dillon Wilson | Physician Assistant | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2019-10-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477188704 | Ernie Tairon Lugo | Nursing Home Administrator | 5210 State Road N 33, Lot 8, Lakeland, FL 33805 | 2020-03-06 |
| 1912546631 | Francis Esperanzate | Physical Therapist | 5070 Menlo Parke Way, Lakeland, FL 33805 | 2019-12-27 |
| 1689232514 | Anointed Touch | Home Health | 617 S Robson Street, Lakeland, FL 33805 | 2019-06-05 |
| 1083160642 | Cherlande Pierre | Chiropractor | 1507 Lakeland Hills Blvd Ste 109, Lakeland, FL 33805 | 2016-09-01 |
| 1992251706 | Damaris Salmeron | Physical Therapy Assistant | 3127 Us Hwy 98 N, Lakeland, FL 33805 | 2016-08-31 |
| 1831589076 | Sarah Mcneill | Pharmacist | 3124 Lakeland Hills Blvd, Lakeland, FL 33805 | 2015-01-26 |
| 1750706479 | Alison M Busby | Counselor | Achievement Academy Inc, 716 E. Bella Vista St, Lakeland, FL 33805 | 2014-03-04 |
| 1174872907 | William Vargas, M.d. P. A. | Anesthesiology | 202 Parkview Place, Lakeland, FL 33805 | 2012-09-07 |
| 1184998056 | Eduardo Francisco Lopez Garcia | Internal Medicine | 135 E First Street, Lakeland, FL 33805 | 2012-02-24 |
| 1255625513 | Navdeep Singh Jassal | Physical Medicine & Rehabilitation | 1417 Lakeland Hills Blvd Ste 201, Lakeland, FL 33805 | 2011-06-04 |
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| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174864144 | Kendra Olivia Davis | Surgery | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2013-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437579489 | Brandon Masi Parker | Surgery | 1611 Nw 12th Ave # 215, Miami, FL 33136-1005 | 2014-04-17 |
| 1508203100 | Kathleen Relihan | Surgery | 77 W Underwood St Ste 200, Orlando, FL 32806-1122 | 2013-05-23 |
| 1992998934 | Vivek Vijay Tirmal | Surgery | 607 Ne 11th Ave, Fort Lauderdale, FL 33304-4695 | 2007-08-23 |
| 1467657890 | Khaled Basiouny | Surgery | 603 7th St S Ste 500, St Petersburg, FL 33701-4734 | 2007-06-16 |
| 1417028614 | Derek Powell Brock | Surgery | 836 Lakeside Dr, North Palm Beach, FL 33408-3810 | 2006-11-11 |
| 1548278856 | Patrick Gonzalez Jr. | Surgery | 12651 N Dale Mabry Hwy, #272204, Tampa, FL 33688-9001 | 2006-08-03 |
| 1124061346 | Dana A. Taylor | Surgery | 1234 Se Magnolia Ext Unit 1, Ocala, FL 34471-3778 | 2006-06-14 |
| 1730163643 | Joseph Mcginn | Surgery | 8950 N Kendall Dr Ste 607w, Miami, FL 33176-2139 | 2005-12-05 |
| 1902429475 | Giovanni Jose Flumeri-perez | Surgery | 1431 Sw 1st Ave Bldg Suite7, Ocala, FL 34471-6500 | 2020-05-19 |
| 1194384297 | Jorge A. Vega Jr., M.d., Pllc | Surgery | 3375 Burns Rd Ste 206, Palm Beach Gardens, FL 33410-4361 | 2019-06-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.