Michael D Griffin Aprn LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MICHAEL D GRIFFIN APRN LLC

Practice address

1930 Sloan CT
Rockledge, FL 32955-6912

Phone

(321) 487-2173

Fax

(321) 926-5300

NPI assigned

Sep 30, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mike Griffin, APRN

Title

Owner

Phone

(321) 200-0471

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1801614870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 SLOAN CT",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329556912",
            "telephone_number": "321-487-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 SLOAN CT",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329556912",
            "telephone_number": "321-487-2173",
            "fax_number": "321-926-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D GRIFFIN APRN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-200-0471",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.