Individual
DR. DARIO AQUILES GRISALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16542 N DALE MABRY HWY, TAMPA, FL 33618-1325
(813) 908-7868
(813) 908-8091
Mailing address
16542 N DALE MABRY HWY, TAMPA, FL 33618-1325
(813) 908-7868
(813) 908-8091
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
ME79046
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03185
BLUE CROSS BLUE SHIELD
FL
01
—
P00246786
RAILROAD MEDICARE
FL
Enumeration date
11/21/2005
Last updated
05/06/2011
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