Individual
MR. BRETT M GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1950 ARLINGTON ST, SUITE 111, SARASOTA, FL 34239-3507
(941) 921-2600
(941) 925-8672
Mailing address
5831 BEE RIDGE RD, STE 100, SARASOTA, FL 34233-5089
(941) 921-2600
(941) 925-8672
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA 9104735
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000601300
—
FL
01
—
Y00ZH
BCBS
FL
Enumeration date
10/01/2008
Last updated
11/01/2019
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