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NPI Code Detail

MEDICARE: ANDREW D GRIFFITH DPT

MEDICARE: ANDREW D GRIFFITH DPT
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
1225100000XPhysical TherapistP13057NC
2225100000XPhysical TherapistPT34581FL

General Provider Information

NPI Number : 1467881482
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW D GRIFFITH DPT
Provider Business Mailing Address
First Line : 470 MALABAR RD SE UNIT 102
Second Line :
City : PALM BAY
State : FL
Zip : 32907-3124
Country : US
Telephone Number : 321-757-5515
Fax Number : 321-757-5514
Provider Business Practice Location Address
First Line : 709 S HARBOR CITY BLVD STE 100
Second Line :
City : MELBOURNE
State : FL
Zip : 32901-1936
Country : US
Telephone Number : 321-802-5814
Fax Number : 321-802-5811
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2013
Last Update Date : 11/29/2022

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Directions to “ ANDREW D GRIFFITH DPT” Practice Location

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