| Walter G Griffith Jr Md Pa | |
|
5565 Dr Martin Luther King Jr St N St Petersburg FL 33703-1203 | |
| (727) 577-1203 | |
| (727) 577-0983 |
| Full Name | Walter G Griffith Jr Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5565 Dr Martin Luther King Jr St N, St Petersburg, Florida |
| Authorized Official Name and Position | Walther G Griffith (OWNER) |
| Authorized Official Contact | 7275771203 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Walter G Griffith Jr Md Pa Po Box 55156 St Petersburg FL 33732-5156 Ph: (727) 577-1203 | Walter G Griffith Jr Md Pa 5565 Dr Martin Luther King Jr St N St Petersburg FL 33703-1203 Ph: (727) 577-1203 |
| NPI Number | 1578675534 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 01/13/2014 |
| Medicare PECOS PAC ID | 9537237029 |
|---|---|
| Medicare Enrollment ID | O20081010000445 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578675534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME61913 (Florida) | Primary |
| Provider Name | Walter G Griffith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780792374 PECOS PAC ID: 0648348136 Enrollment ID: I20081010000431 |
| Provider Name | Sydney B Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053182972 PECOS PAC ID: 4981045556 Enrollment ID: I20240514001333 |
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