Individual
DR. RYAN LEIGH GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
922 E CALL ST, STARKE, FL 32091-3616
(904) 368-2300
(904) 368-2306
Mailing address
PO BOX 100371, GAINESVILLE, FL 32610-0371
(352) 338-2195
(352) 338-2185
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
ME96167
FL
207R00000X
Internal Medicine Physician
ME96167
FL
208M00000X
Hospitalist Physician
Primary
ME96167
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2763079-00
—
FL
05
—
587318545A
—
GA
Enumeration date
07/10/2006
Last updated
11/30/2007
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