Provider Demographics
NPI:1134427677
Name:GRIFFIN, APRIL LYNN (LMT)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:LYNN
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1411 3RD CT
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-5883
Mailing Address - Country:US
Mailing Address - Phone:772-538-7841
Mailing Address - Fax:772-492-9117
Practice Address - Street 1:2090 6TH AVE
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-0906
Practice Address - Country:US
Practice Address - Phone:772-569-6925
Practice Address - Fax:772-492-9117
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-08
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA61875174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist