Individual
MS. JUANITA CHRISTENE GRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3854 SHERIDAN ST STE A, HOLLYWOOD, FL 33021-3630
(954) 966-3018
(954) 966-5249
Mailing address
3854 SHERIDAN ST STE A, HOLLYWOOD, FL 33021-3630
(954) 966-3018
(954) 966-5249
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11027804
FL
363LF0000X
Family Nurse Practitioner
APRN11027804
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121113200
—
FL
Enumeration date
10/31/2023
Last updated
05/15/2024
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