Individual
DR. BRIAN CHACE GRIFFITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
575 S WICKHAM RD STE A, MELBOURNE, FL 32904-1170
(321) 727-8940
(321) 733-7050
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
ME137265
FL
208M00000X
Hospitalist Physician
ME137265
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100361000
—
FL
01
—
P2332
MEDICARE HF
FL
Enumeration date
08/21/2006
Last updated
06/15/2023
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