Provider Demographics
NPI:1518183854
Name:GRIFF, NANCY SUZANNE (MD)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:SUZANNE
Last Name:GRIFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:NANCY
Other - Middle Name:
Other - Last Name:REITER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1402 ROYAL PALM BEACH BLVD
Mailing Address - Street 2:SUITE 400A
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-1692
Mailing Address - Country:US
Mailing Address - Phone:561-792-9977
Mailing Address - Fax:561-792-9915
Practice Address - Street 1:1402 ROYAL PALM BEACH BLVD
Practice Address - Street 2:SUITE 400A
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-1692
Practice Address - Country:US
Practice Address - Phone:561-792-9977
Practice Address - Fax:561-792-9915
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2008-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00682732084P0800X
FLME682732084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL00027363Medicare ID - Type Unspecified
FL27363Medicare PIN
FLG11251Medicare PIN
G11251Medicare UPIN