MEDICARE: DAVID WEST 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
1	207X00000X	Orthopaedic Surgery Physician	ME0036223	FL

General Provider Information

NPI Number	:	1891794780
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID WEST GRIFFIN M.D.

Provider Business Mailing Address
First Line	:	1285 36TH ST
Second Line	:	SUITE 100
City	:	VERO BEACH
State	:	FL
Zip	:	32960-4885
Country	:	US
Telephone Number	:	772-778-2009
Fax Number	:	772-778-2910

Provider Business Practice Location Address
First Line	:	1285 36TH ST
Second Line	:	SUITE 100
City	:	VERO BEACH
State	:	FL
Zip	:	32960-4885
Country	:	US
Telephone Number	:	772-778-2009
Fax Number	:	772-778-2910

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	11/05/2007

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