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Individual

BRIAN T GRIFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
3100 E FLETCHER AVE, TAMPA, FL 33613-4613
(913) 647-2055
Mailing address
PO BOX 861348, ORLANDO, FL 32886-1348
(913) 647-2055

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9204169
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G4597
BCBS OF FL
FL
Enumeration date
07/17/2008
Last updated
04/29/2009
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