| John T Grigg Md Pa | |
|
9750 Nw 33rd St Suite 113 Coral Springs FL 33065-4042 | |
| (954) 755-2626 | |
| Not Available |
| Full Name | John T Grigg Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 9750 Nw 33rd St, Coral Springs, Florida |
| Authorized Official Name and Position | John T Grigg (PRESIDENT) |
| Authorized Official Contact | 9547552626 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John T Grigg Md Pa 9750 Nw 33rd St Suite 113 Coral Springs FL 33065-4042 Ph: (954) 755-2626 | John T Grigg Md Pa 9750 Nw 33rd St Suite 113 Coral Springs FL 33065-4042 Ph: (954) 755-2626 |
| NPI Number | 1225217680 |
|---|---|
| Provider Enumeration Date | 11/01/2007 |
| Last Update Date | 11/01/2007 |
| Medicare PECOS PAC ID | 4082899885 |
|---|---|
| Medicare Enrollment ID | O20110420000604 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225217680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME31518 (Florida) | Primary |
| Provider Name | John T Grigg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265438352 PECOS PAC ID: 6507041308 Enrollment ID: I20110420000643 |
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