Griffith, Brian Chace
Griffith, Brian Chace is an individual health care provider with primary practice located at 575 S Wickham Rd Ste A , Melbourne FL 32904-1170. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Griffith, Brian Chace can be contacted via phone (321) 727-8940.Contact Information
Primary practice address
575 S Wickham Rd Ste A
Melbourne FL 32904-1170
Phone: (321) 727-8940
Fax: (321) 733-7050
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | ME137265 | Florida |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | ME137265 | Florida |
Profile Details
| NPI number | 1376659615 |
|---|---|
| LBN Legal business name | Griffith, Brian Chace |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Jun 15th, 2023 - about 2 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 | 1376659615 | NPPES |
| Florida | MEDICAID | 100361000 | |
| Florida | Other | P2332 |
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