NPI 1013896745
Gregory Graves, CAA
Practice location
- Address
- 3501 Johnson St, Hollywood, FL 33021-5421
- Phone
- (954) 939-5000
- Mailing address
- 4895 Shalimar Ln APT 11102, Davie, FL 33328-7168
Registered specialties
Anesthesiologist Assistant
Primary
Registry record
- NPI
- 1013896745
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 27 Aug 2025
- Record last updated
- 22 Oct 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.