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Individual

DR. EMIL RICHARD GRIECO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
990 TAMIAMI TRL N, SUITE 200, NAPLES, FL 34102-5403
(239) 434-6300
(239) 434-7174
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME15950
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009985400
FL
05
055356500
FL
01
10G243
HEALTHY KIDS
FL
01
1193071
WELLCARE
FL
01
260463
AVMED
FL
01
5981076
AETNA
FL
01
71036
BCBS
FL
01
7982717
CIGNA
FL
01
P108077
FREEDOM
FL
01
P306911
OPTIMUM
FL
Enumeration date
03/19/2007
Last updated
05/08/2017
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