Provider Demographics
NPI:1043275647
Name:GRIGGS, ADAM L (DO)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:L
Last Name:GRIGGS
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Gender:M
Credentials:DO
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Mailing Address - Street 1:1121 N CENTRAL AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-4405
Mailing Address - Country:US
Mailing Address - Phone:407-933-1221
Mailing Address - Fax:407-933-0747
Practice Address - Street 1:1121 N CENTRAL AVE
Practice Address - Street 2:SUITE B
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-4405
Practice Address - Country:US
Practice Address - Phone:407-933-1221
Practice Address - Fax:407-933-0747
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2018-02-20
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Provider Licenses
StateLicense IDTaxonomies
FL0006315207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4300900OtherAETNA PROVIDER ID
FL4800324OtherUHC PROVIDER ID
FL6434890016OtherCIGNA PROVIDER ID
FL372227900Medicaid
FL204211OtherAVMED PROVIDER ID
FL80684OtherBLUE CROSS BLUE SHIELD
FL4800324OtherUHC PROVIDER ID
FL372227900Medicaid