Individual
MS. STACIE L GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
255 W HIGHWAY 50, CLERMONT, FL 34711-3027
(352) 394-4615
Mailing address
201 EDGEWOOD DR, CLERMONT, FL 34711-2413
(407) 414-6111
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA#41848
FL
Other
Enumeration date
03/25/2010
Last updated
03/25/2010
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