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Individual

DR. EUGENE RAWSON GRIFFIN III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3627 UNIVERSITY BLVD S, STE 615, JACKSONVILLE, FL 32216-7401
(904) 399-1623
(904) 399-1624
Mailing address
PO BOX 17577, JACKSONVILLE, FL 32245-7577
(904) 399-1623
(904) 399-1624

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
ME45932
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
160053365
RAILROAD MEDICARE
FL
Enumeration date
06/22/2005
Last updated
06/14/2016
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