Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | ME15950 | FL |
NPI | 1013031384 |
---|---|
Provider Name | Dr. Emil Richard Grieco |
First Address | Fort Myers, FL 33907-1412 |
Second Address | Naples, FL 34102-5403 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2007 |
Last Update Date | 08/05/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009985400 | (05) | FL |
055356500 | (05) | FL |
10G243 | HEALTHY KIDS (01) | FL |
1193071 | WELLCARE (01) | FL |
260463 | AVMED (01) | FL |
5981076 | AETNA (01) | FL |
71036 | BCBS (01) | FL |
71036 | BCBS OF FL (01) | FL |
7982717 | CIGNA (01) | FL |
D57935 | (02) | FL |
P108077 | FREEDOM (01) | FL |
P108077 | FREEDOM HEALTH (01) | FL |
P306911 | OPTIMUM (01) | FL |