Organization
B CHACE GRIFFITH MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CANDACE MCCULLOUGH (PHYSICIAN PRACTICE MANAGER)
(213) 272-1908
Entity
Organization
Contact information
Practice address
575 S WICKHAM RD STE A, MELBOURNE, FL 32904-1170
(321) 727-8940
Mailing address
575 S WICKHAM RD STE A, MELBOURNE, FL 32904-1170
(321) 727-8940
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
12/21/2022
Last updated
12/21/2022
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