Grillo, Joseph

Grillo, Joseph is an individual health care provider with primary practice located at 14391 Metropolis Ave Suite 104, Fort Myers FL 33912-4421. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Grillo, Joseph can be contacted via phone (239) 931-3668.

Contact Information

Primary practice address
14391 Metropolis Ave Suite 104 Fort Myers FL 33912-4421
Phone: (239) 931-3668
Fax: (239) 333-0746
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X PO 2106 Florida

Profile Details

NPI number 1760483796
LBN Legal business name Grillo, Joseph
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2005
Last updated Dec 15th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760483796 NPPES
Florida MEDICAID 053040900

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