Dr. Eugene Rawson Griffin III
Family Doctor - Geriatric Medicine
3627 University Blvd S Ste 615
Jacksonville
, Florida 32216-7401
Dr. Eugene Rawson Griffin III
Family Doctor - Geriatric Medicine
3627 University Blvd S Ste 615
Jacksonville
, Florida 32216-7401
(904) 399-1624
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About
Features
Specialties
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Eugene Rawson Griffin III
- Po Box 17577
- Jacksonville, FL
- Zip : 32245-7577
- Fax : (904) 399-1624
- Phone : (904) 399-1623
Second Address
- Dr. Eugene Rawson Griffin III
- 3627 University Blvd S Ste 615
- Jacksonville, FL
- Zip : 32216-7401
- Fax : (904) 399-1624
- Phone : (904) 399-1623
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | ME45932 | FL |
National Provider Identifier
| NPI | 1124024310 |
|---|---|
| Provider Name | Dr. Eugene Rawson Griffin III |
| First Address | Jacksonville, FL 32245-7577 |
| Second Address | Jacksonville, FL 32216-7401 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/06/2005 |
| Last Update Date | 14/06/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 160053365 | RAILROAD MEDICARE (01) | FL |
| D45494 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.