Tonya Grissam in Fort Lauderdale - Pediatrics

Tonya Grissam - NPI 1043385131

Tonya Grissam is a Pediatrics in Fort Lauderdale, Florida. Tonya Grissam practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Tonya Grissam is 1043385131. The last update date is 2022-07-19.

Tonya Grissam's current location address is 6451 N Federal Hwy Ste 800, Fort Lauderdale, Florida. You can contact this provider via phone number 8005865022 and fax number 9542299801. The mailing address for Tonya Grissam is 6451 N Federal Hwy Ste 800, Fort Lauderdale, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Tonya Grissam
Address 6451 N Federal Hwy Ste 800, Fort Lauderdale, Florida
Phone Number 8005865022
Fax Number 9542299801
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1043385131
Provider Enumeration Date 2006-11-22
Last Updated Date 2022-07-19

Provider Mailing Address Detail

Address 6451 N Federal Hwy Ste 800
City Fort Lauderdale
State Florida (FL)
Post Code 333081409
Phone Number 8005865022
Fax Number 9542299801

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 4301106345
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000960913D GA --
000960913I GA --
000960913H GA --

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FAQs about Tonya Grissam

What is the unique identification code assigned to Tonya Grissam by the Centers for Medicare & Medicaid Services?

The Tonya Grissam has been issued the NPI (National Provider Identifier) 1043385131. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Tonya Grissam's facilities are situated?

The facilities of Tonya Grissam are physically located at the following address: 6451 N Federal Hwy Ste 800, Fort Lauderdale, FL, 333081409.

What is Tonya Grissam's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Tonya Grissam is Pediatrics, and the taxonomy code that categorizes this field of expertise is 208000000X.

On what date was the 1043385131 assigned to Tonya Grissam?

The Tonya Grissam was issued its 1043385131 on 2006-11-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Tonya Grissam last refreshed?

The information related to the Tonya Grissam, including its address, specialty, and other relevant details, was last updated on 2022-07-19.

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