Individual
DR. MARY T GRIFFEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2125 CRYSTAL GROVE DR, LAKELAND, FL 33801-6875
(863) 688-2334
(863) 577-0301
Mailing address
2125 CRYSTAL GROVE DR, LAKELAND, FL 33801-6875
(863) 688-2334
(863) 577-0301
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
ME81316
FL
2085R0202X
Diagnostic Radiology Physician
ME81316
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265088600
—
FL
Enumeration date
02/08/2006
Last updated
05/28/2014
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