Individual
DR. VIVIAN D GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9320 STATE ROAD 54, TRINITY, FL 34655-1808
(727) 493-2513
(877) 917-2336
Mailing address
PO BOX 102222, ATTN: CREDENTIAL DEPARTMENT, ATLANTA, GA 30368-2222
(239) 274-8200
(239) 278-3350
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
ME99182
FL
2085R0001X
Radiation Oncology Physician
ME99182
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005945900
—
FL
Enumeration date
08/11/2005
Last updated
11/02/2023
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