Griffin, Bradley
Griffin, Bradley is an individual health care provider with primary practice located at 12902 Usf Magnolia Dr , Tampa FL 33612-9416. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Griffin, Bradley can be contacted via phone (813) 745-8486.Contact Information
Primary practice address
12902 Usf Magnolia Dr
Tampa FL 33612-9416
Phone: (813) 745-8486
Fax: (813) 745-3064
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | ARNP9274530 | Florida |
Profile Details
| NPI number | 1932199239 |
|---|---|
| LBN Legal business name | Griffin, Bradley |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Apr 27th, 2026 - about 6 months 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 | 1932199239 | NPPES |
| Florida | MEDICAID | 000173500 | |
| Florida | MEDICAID | 2564069 |
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