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NPI Code Detail

MEDICARE: DR. RADLEY LAWTON GRIFFIN M.D.

MEDICARE: DR. RADLEY LAWTON GRIFFIN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianME93435FL

General Provider Information

NPI Number : 1568435733
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RADLEY LAWTON GRIFFIN M.D.
Provider Business Mailing Address
First Line : 2420 W MISSISSIPPI AVE
Second Line :
City : TAMPA
State : FL
Zip : 33629-6110
Country : US
Telephone Number : 813-350-9090
Fax Number : 813-443-5783
Provider Business Practice Location Address
First Line : 2420 W MISSISSIPPI AVE
Second Line :
City : TAMPA
State : FL
Zip : 33629-6110
Country : US
Telephone Number : 813-350-9090
Fax Number : 833-941-2649
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2006
Last Update Date : 10/27/2023

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