Healthcare Provider Details

I. General information

NPI: 1437152832
Provider Name (Legal Business Name): CHRISTOPHER B GRIFFITH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2005
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16230 SUMMERLIN RD STE 215
FORT MYERS FL
33908-5769
US

IV. Provider business mailing address

PO BOX 2147
FORT MYERS FL
33902-2147
US

V. Phone/Fax

Practice location:
  • Phone: 239-468-0210
  • Fax: 239-343-4236
Mailing address:
  • Phone: 239-468-0210
  • Fax: 239-343-4236

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207SG0201X
TaxonomyClinical Genetics (M.D.) Physician
License Number01063607A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code207SG0201X
TaxonomyClinical Genetics (M.D.) Physician
License NumberME128186
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: