Organization
WILLIAM J GRISAITIS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM J GRISAITIS MD (OWNER)
(407) 644-9030
Entity
Organization
Contact information
Practice address
331 N MAITLAND AVE, #A-5, MAITLAND, FL 32751-4762
(407) 644-9030
(407) 644-9440
Mailing address
331 N MAITLAND AVE, #A-5, MAITLAND, FL 32751-4762
(407) 644-9030
(407) 644-9440
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME35814
FL
Other
Enumeration date
01/14/2008
Last updated
08/13/2010
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