Individual
DR. REGINALD LANE GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1630 SE 18TH ST STE 103, OCALA, FL 34471-5409
(352) 236-5809
Mailing address
1630 SE 18TH ST STE 103, OCALA, FL 34471-5409
(352) 236-5809
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME112612
FL
208600000X
Surgery Physician
TRN11572
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022503400
—
FL
Enumeration date
06/07/2007
Last updated
04/17/2019
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