Individual
DR. JOSEPH GRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
14391 METROPOLIS AVE, SUITE 104, FORT MYERS, FL 33912-4421
(239) 931-3668
(239) 333-0746
Mailing address
14391 METROPOLIS AVE, SUITE 104, FORT MYERS, FL 33912-4421
(239) 931-3668
(239) 333-0746
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
PO 2106
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
053040900
—
FL
Enumeration date
08/01/2005
Last updated
12/15/2020
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