Ryan Griffin, Md Llc | |
238 Canal Blvd Suite 2 Ponte Vedra FL 32082-3741 | |
(904) 395-3041 | |
(904) 834-7276 |
Full Name | Ryan Griffin, Md Llc |
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Speciality | Internal Medicine |
Location | 238 Canal Blvd, Ponte Vedra, Florida |
Authorized Official Name and Position | Ryan L Griffin (PRESIDENT) |
Authorized Official Contact | 9043953041 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ryan Griffin, Md Llc 238 Canal Blvd Suite 2 Ponte Vedra FL 32082-3741 Ph: (904) 395-3041 | Ryan Griffin, Md Llc 238 Canal Blvd Suite 2 Ponte Vedra FL 32082-3741 Ph: (904) 395-3041 |
NPI Number | 1508223363 |
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Provider Enumeration Date | 01/25/2016 |
Last Update Date | 01/25/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508223363 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME96167 (Florida) | Primary |
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