Griffith, David Brock

Griffith, David Brock is an individual health care provider with primary practice located at 1727 2Nd St Ste 2 , Sarasota FL 34236-8524. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Griffith, David Brock can be contacted via phone (941) 951-0170.

Contact Information

Primary practice address
1727 2Nd St Ste 2 Sarasota FL 34236-8524
Phone: (941) 951-0170
Fax: (941) 993-1088
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT016735 Pennsylvania
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X J1-0001822 Delaware
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 26300 Florida

Profile Details

NPI number 1366480212
LBN Legal business name Griffith, David Brock
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Nov 6th, 2018 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366480212 NPPES
Other 000051057 DPCI
MEDICAID 1366480212 DPCI
Other 2135023 DPCI
Other 3744641000 DPCI
Other G02348D12 DPCI
Other P00359628 DPCI
MEDICAID 1204047380001 DPCI

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