Individual
AYSSA GRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10920 W FLAGLER ST STE 201, MIAMI, FL 33174-1243
(786) 623-3915
(786) 623-3916
Mailing address
10010 SW 228TH TER, MIAMI, FL 33190-1988
(786) 523-4797
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9389577
FL
Other
Enumeration date
08/09/2018
Last updated
11/12/2024
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