Grullon, Carlos P

Grullon, Carlos P is an individual health care provider with primary practice located at 910 Williston Park Pt Ste 1000, Lake Mary FL 32746-2172. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Grullon, Carlos P can be contacted via phone (407) 833-8028.

Contact Information

Primary practice address
910 Williston Park Pt Ste 1000 Lake Mary FL 32746-2172
Phone: (407) 833-8028
Fax: (407) 833-8033
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X ME64646 Florida
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME64646 Florida

Profile Details

NPI number 1427154756
LBN Legal business name Grullon, Carlos P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Nov 18th, 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 1427154756 NPPES
Florida Other 23177 BLUE SHIELD OF FL

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