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

Ethan Grey, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053013599

Ethan Grey, DO is a Student in an Organized Health Care Education/Training Program in Fort Lauderdale, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2023
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510
Phone: (954) 355-4400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 201 E Sample Rd, Deerfield Beach, FL 33064-3502 — (954) 941-8300

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence R4216 (FL)

Record details

NPI number1053013599
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 20, 2023
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026

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