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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 12 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 1568435915 NPPES
Florida MEDICAID 265088600

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