Organization
JOSEPH GRILLO DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH GRILLO DPM (OWNER)
(239) 931-3668
Entity
Organization
Contact information
Practice address
14391 METROPOLIS AVE, SUITE 104, FORT MYERS, FL 33912-4421
(239) 931-3668
(239) 333-3669
Mailing address
14391 METROPOLIS AVE, SUITE 104, FORT MYERS, FL 33912-4421
(239) 931-3668
(239) 333-3669
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
PO 2106
FL
Other
Enumeration date
03/23/2012
Last updated
06/13/2012
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