Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tonya Grissam, MD

Individual provider Pediatrics Physician · NPI 1043385131

Tonya Grissam, MD is a Pediatrics Physician in Fort Lauderdale, Florida. Practices as a sole proprietor. Licensed in Georgia and Michigan.

Licensed in
GA, MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6451 N Federal Hwy Ste 800
Fort Lauderdale, FL 33308-1409
Phone: (800) 586-5022
Fax: (954) 229-9801
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Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 4301106345 (MI)
Pediatrics Physician Taxonomy 208000000X · Licence 051567 (GA)

Record details

NPI number1043385131
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 22, 2006
Last updated in NPPESJanuary 1, 2026
Certification dateJanuary 1, 2026

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