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NPI Code Detail

MEDICARE: D.T. GRIFFITH, M.D. LLC

MEDICARE: D.T. GRIFFITH, M.D. LLC
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
1207RA0201XAllergy & Immunology (Internal Medicine) PhysicianME 87491FL

General Provider Information

NPI Number : 1215181524
Entity Type Code : Organization
Provider Name (Legal Business Name) : D.T. GRIFFITH, M.D. LLC
Provider Business Mailing Address
First Line : 874 S PARSONS AVE
Second Line :
City : BRANDON
State : FL
Zip : 33511-6007
Country : US
Telephone Number : 813-661-8979
Fax Number : 813-654-1164
Provider Business Practice Location Address
First Line : 874 S PARSONS AVE
Second Line :
City : BRANDON
State : FL
Zip : 33511-6007
Country : US
Telephone Number : 813-661-8979
Fax Number : 813-654-1164
Authorized Official
Title or Position : OWNER/CEO
Name : DR. DANIEL TODD GRIFFITH
Credential : M.D.
Telephone Number : 813-661-8979
Provider Enumeration Date : 11/13/2008
Last Update Date : 07/28/2009

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