Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 0006315 | FL |
Y | 207RP1001X | Pulmonary Disease | 0006315 | FL |
NPI | 1043275647 |
---|---|
Provider Name | Dr. Adam L Griggs |
First Address | Kissimmee, FL 34741-4405 |
Second Address | Kissimmee, FL 34741-4405 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2006 |
Last Update Date | 20/02/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
204211 | AVMED PROVIDER ID (01) | FL |
372227900 | (05) | FL |
4300900 | AETNA PROVIDER ID (01) | FL |
4800324 | UHC PROVIDER ID (01) | FL |
6434890016 | CIGNA PROVIDER ID (01) | FL |
80684 | BLUE CROSS BLUE SHIELD (01) | FL |
F38674 | (02) | FL |