Provider Demographics
NPI:1215936471
Name:LATCHAW, GREGORY A (MD)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:A
Last Name:LATCHAW
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:12959 PALMS WEST DR
Mailing Address - Street 2:SUITE 130
Mailing Address - City:LOXAHATCHEE
Mailing Address - State:FL
Mailing Address - Zip Code:33470-4937
Mailing Address - Country:US
Mailing Address - Phone:561-793-5657
Mailing Address - Fax:561-793-5608
Practice Address - Street 1:12959 PALMS WEST DR
Practice Address - Street 2:SUITE 130
Practice Address - City:LOXAHATCHEE
Practice Address - State:FL
Practice Address - Zip Code:33470-4937
Practice Address - Country:US
Practice Address - Phone:561-793-5657
Practice Address - Fax:561-793-5608
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2011-05-02
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Provider Licenses
StateLicense IDTaxonomies
FLME93571207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology