Dr. Denis Walter Grillo
Otolaryngology/Facial Plastic Surgery
790 Se 5th Ter
Crystal River
, Florida 34429-4852
Dr. Denis Walter Grillo
Otolaryngology/Facial Plastic Surgery
790 Se 5th Ter
Crystal River
, Florida 34429-4852
(352) 795-9481
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About
Features
Specialties
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Dr. Denis Walter Grillo
- 790 Se 5th Ter
- Crystal River, FL
- Zip : 34429-4852
- Fax : (352) 795-9481
- Phone : (352) 795-0011
Second Address
- Dr. Denis Walter Grillo
- 790 Se 5th Ter
- Crystal River, FL
- Zip : 34429-4852
- Fax : (352) 795-9481
- Phone : (352) 795-0011
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | OS5716 | FL |
National Provider Identifier
| NPI | 1235127937 |
|---|---|
| Provider Name | Dr. Denis Walter Grillo |
| First Address | Crystal River, FL 34429-4852 |
| Second Address | Crystal River, FL 34429-4852 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/10/2005 |
| Last Update Date | 11/09/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1409549 | UMW (01) | FL |
| 200691 | AVMED (01) | FL |
| 80221 | BCBS OF FLORIDA (01) | FL |
| B53251 | (02) | FL |
| P00062969 | MEDICARE RAILROAD (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.