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

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

Practice location Address checks out

1718 Western Rd
South Daytona, FL 32119-1932
Phone: (386) 295-3159
Show map & directions

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
Mailing address1718 Western Rd, South Daytona, FL 32119-1932