Individual
YIFAN MENG GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4712 N ARMENIA AVE STE 200, TAMPA, FL 33603-2611
(813) 874-7500
(813) 872-0955
Mailing address
4712 N ARMENIA AVE STE 200, TAMPA, FL 33603-2611
(813) 874-7500
(813) 872-0955
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
01087942A
IN
208800000X
Urology Physician
2017019494
MO
2088P0231X
Pediatric Urology Physician
Primary
ME166494
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
064740069
MEDICARE PTAN
IN
05
—
300063508
—
IN
Enumeration date
06/23/2017
Last updated
06/03/2024
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