Warren S Groff MD

NPI 1558348110 - Family Medicine - 207Q00000X

NPI Details
NPI 1558348110
Gender Male
Enumeration Date 12/27/2005
Last Updated 11/18/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
45465 FIFTH AVE
CREDENTIALING DEPARTMENT
CALLAHAN FL, 32011-3901, US
Phone (904) 879-4544
Fax (904) 879-4411
Business Location
PO BOX 44004
JACKSONVILLE FL, 32231-4004, US
Phone (904) 202-1032
Fax (904) 391-5807
Toxanomy
Taxonomy Code 207Q00000X
License State Florida
License Number ME62728
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According to our database, Dr. Warren S Groff MD NPI is 1558348110, taxonomy code is 207Q00000X and license number is ME62728, license state is located at Florida. Warren S Groff MD physically located at 45465 Fifth Ave, Callahan FL, 32011-3901. NPI Number Warren S Groff MD has the Individual type.

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1558348110 NPI number is provided on an as is basis without warranty of any kind. 1558348110 is maintained by the National Plan & Provider Enumeration System. The contents of Warren S Groff MD are for informational purposes only.