Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark Gregory

Individual provider Surgical Technologist · NPI 1275980153

Mark Gregory is a Surgical Technologist in South Daytona, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2016
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Practice location Address checks out

1718 Western Rd
South Daytona, FL 32119-1932
Phone: (386) 295-3159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Technologist (primary) Taxonomy 246ZS0410X · Licence 816376 (FL)

Record details

NPI number1275980153
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 19, 2016
Last updated in NPPESMay 19, 2016