Individual
MR. DAVID BROCK GRIFFITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
1727 2ND ST STE 2, SARASOTA, FL 34236-8524
(941) 951-0170
(941) 993-1088
Mailing address
1727 2ND ST STE 2, SARASOTA, FL 34236-8524
(941) 951-0170
(941) 993-1088
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
26300
FL
225100000X
Physical Therapist
J1-0001822
DE
225100000X
Physical Therapist
PT016735
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000051057
DPCI
—
05
—
1204047380001
—
PA
05
—
1366480212
—
DE
01
—
2135023
HIGHMARK PA BLUE SHIELD
PA
01
—
3744641000
IBC
DE
01
—
G02348D12
MEDICARE
—
01
—
P00359628
RAILROAD MEDICARE
—
Enumeration date
06/03/2006
Last updated
11/06/2018
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