MICHAEL GRIFFIN (NPI# 1063929479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063929479 |
| Entity Type | Individual |
| Full Name | MICHAEL GRIFFIN |
| Credential | ARNP |
| Practice Address |
17 Silver Palm Ave Melbourne FL 32901-3123 |
| Mailing Address |
Po Box 1137 Melbourne FL 32902-1137 |
| Practice Telephone | 3217332021 |
| Practice Fax Number | 3217270884 |
| Mailing Telephone | 3219529696 |
| Mailing Fax Number | 3219527937 |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2018-01-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9184553 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FLORIDA DEPT. OF HEALTH | ARNP9184553 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942764790 | Michael Thomas Griffin | Social Worker | 30101 Town Center Dr Ste 104, Laguna Niguel, CA 92677-2035 | 2019-01-25 |
| 1871008078 | Michael Lee Griffin | Emergency Medical Technician, Basic | 1306 E Redwood Blvd, Brandon, SD 57005-1574 | 2017-12-10 |
| 1821542580 | Michael Griffin | Physical Therapist | 3357 Navajo St, Denver, CO 80211-3547 | 2016-08-11 |
| 1811127558 | Michael Orrin Griffin Jr. | Radiology | 9200 W. Wisconsin Ave., Department of Radiology, Milwaukee, WI 53226 | 2009-07-15 |
| 1528203965 | Michael James Griffin | Counselor | 2004 4th Ave, Sacramento, CA 95818-3048 | 2008-12-15 |
| 1740488600 | Michael Brandon Griffin | Pharmacist | 103 Talmadge Dr, Moultrie, GA 31768-5050 | 2007-07-03 |
| 1730290123 | Michael David Griffin | Chiropractor | 1750 Marion Rd, Bucyrus, OH 44820-3117 | 2006-08-31 |
| 1639103799 | Michael A Griffin | Optometrist | 200 Medical Care Way, Dothan, AL 36303-7013 | 2006-07-11 |
| 1073543914 | Michael Lee Griffin | Pediatrics | 2051 Pioneer Ct, San Mateo, CA 94403-1719 | 2006-07-04 |
| 1710985049 | Michael Todd Griffin | Otolaryngology | 1000 W Pinhook Rd Ste 201, Lafayette, LA 70503-2464 | 2005-07-11 |
| Street Address |
17 SILVER PALM AVE |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-3123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568454486 | Lynette M Graff | Family Medicine | 17 Silver Palm Ave, Melbourne, FL 32901-3123 | 2005-08-17 |
| 1316101264 | Obaydah Ahmad Abdurraqeeb | Family Medicine | 17 Silver Palm Ave, Melbourne, FL 32901-3123 | 2008-07-10 |
| 1336306240 | Chandra Mangra | Family Medicine | 17 Silver Palm Ave, Melbourne, FL 32901-3123 | 2008-05-19 |
| 1689868622 | Charles Eugene Potts | Internal Medicine | 17 Silver Palm Ave, Melbourne, FL 32901-3123 | 2007-09-04 |
| 1619026218 | Brevard Health Alliance | Clinic/Center | 17 Silver Palm Ave, Melbourne, FL 32901-3123 | 2007-01-10 |
| 1528115458 | Brevard Health Alliance Inc | Clinic/Center | 17 Silver Palm Ave, Melbourne, FL 32901-3123 | 2007-01-04 |
| 1598704066 | Hui Ping Chang | Nurse Practitioner | 17 Silver Palm Ave, Melbourne, FL 32901-3123 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285231985 | Kristy Mccoy Sharpe | Nurse Practitioner | 2032 Buescher Hill St, Melbourne, FL 32935-2170 | 2020-10-06 |
| 1326658840 | Deniece Santana | Nurse Practitioner | Health First Medical Group, LLC, 1223 Gateway Dr, Melbourne, FL 32901-2607 | 2020-08-10 |
| 1891313334 | Kellie L Herrington | Nurse Practitioner | 1600 Sarno Rd Ste E, Melbourne, FL 32935-4938 | 2020-07-10 |
| 1871118455 | Denise M Marburger | Nurse Practitioner | 567 Trend Rd, Melbourne, FL 32904-7429 | 2020-06-10 |
| 1407412018 | Aleecia Estime | Nurse Practitioner | 401 N Wickham Rd Ste S, Melbourne, FL 32935 | 2019-05-20 |
| 1932670510 | Susan Lynn Beattie | Nurse Practitioner | 4766 White Heron Dr, Melbourne, FL 32934-3293 | 2018-12-08 |
| 1831678994 | Joyce Colson | Nurse Practitioner | 8055 Spyglass Hill Rd Ste 102, Melbourne, FL 32940-8564 | 2018-08-09 |
| 1104336577 | Peak Performance Medical | Nurse Practitioner | 3800 W Eau Gallie Blvd Ste 101, Melbourne, FL 32934-3285 | 2017-10-11 |
| 1154849065 | Baxter Regional Health System | Nurse Practitioner | 1019 East Main Street, Melbourne, AR 72556 | 2017-08-31 |
| 1134676836 | Rachael Howard | Nurse Practitioner | 5545 N Wickham Rd Ste 104, Melbourne, FL 32940-7323 | 2016-09-09 |
| Find all providers in MELBOURNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.