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Individual

DR. JOHN DANIEL GRIGAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 PRUDENTIAL DR, 4TH FLOOR MAIN NORTH, JACKSONVILLE, FL 32207-8202
(904) 202-2963
(904) 202-4225
Mailing address
800 PRUDENTIAL DR, 4TH FLOOR MAIN NORTH, JACKSONVILLE, FL 32207-8202
(904) 202-2963
(904) 202-4225

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME0034374
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4213732
AETNA
FL
01
56099
BCBS OF FLORIDA
FL
Enumeration date
01/06/2006
Last updated
07/08/2007
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