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:
Health care specialties
| Specialty | Code | License # | 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 8 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 | 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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