Organization
AMY A GRISWOLD M D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY A GRISWOLD MD (PRESIDENT)
(941) 748-7246
Entity
Organization
Contact information
Practice address
842 62ND STREET CIR E STE 104, BRADENTON, FL 34208-6212
(941) 748-7246
(941) 748-7244
Mailing address
1180 8TH AVE W, #311, PALMETTO, FL 34221-3810
(941) 748-7246
(941) 748-7244
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME67865
FL
261QP3300X
Pain Clinic/Center
ME67865
FL
Other
Enumeration date
09/14/2007
Last updated
01/28/2011
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