Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 5101016166 | MI |
Y | 207YS0123X | Facial Plastic Surgeon | OS10621 | FL |
NPI | 1083735401 |
---|---|
Provider Name | Dr. Salvatore Louis Grimaldi |
First Address | West Palm Beach, FL 33407-2450 |
Second Address | West Palm Beach, FL 33407-2450 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2007 |
Last Update Date | 24/01/2013 |