Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | ME87491 | FL |
N | 207R00000X | Internist | ME87491 | FL |
N | 111NI0900X | Internist | ME87491 | FL |
Y | 207RA0401X | Internist - Addiction Medicine | ME87491 | FL |
NPI | 1750339032 |
---|---|
Provider Name | Dr. Daniel T Griffith |
First Address | Tampa, FL 33610 |
Second Address | Tampa, FL 33618-4578 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2006 |
Last Update Date | 27/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
BW547A | MEDICARE PTAN (01) | FL |
H84432 | (02) | FL |