Griffen, Mary T
Griffen, Mary T is an individual health care provider with primary practice located at 2125 Crystal Grove Dr , Lakeland FL 33801-6875. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Neuroradiology is her primary health care specialty. Griffen, Mary T can be contacted via phone (863) 688-2334.Contact Information
Primary practice address
2125 Crystal Grove Dr
Lakeland FL 33801-6875
Phone: (863) 688-2334
Fax: (863) 577-0301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | ME81316 | Florida |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME81316 | Florida |
Profile Details
| NPI number | 1568435915 |
|---|---|
| LBN Legal business name | Griffen, Mary T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | May 28th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568435915 | NPPES |
| Florida | MEDICAID | 265088600 |
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