William J Grisaitis
Dermatologist
331 N Maitland Ave Building A Suite 5
Maitland
, Florida 32751-4762
William J Grisaitis
Dermatologist
331 N Maitland Ave Building A Suite 5
Maitland
, Florida 32751-4762
(407) 644-9440
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- William J Grisaitis
- 331 N Maitland Ave Building A Suite 5
- Maitland, FL
- Zip : 32751-4762
- Fax : (407) 644-9440
- Phone : (407) 644-9030
Second Address
- William J Grisaitis
- 331 N Maitland Ave Building A Suite 5
- Maitland, FL
- Zip : 32751-4762
- Fax : (407) 644-9440
- Phone : (407) 644-9030
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | ME0035814 | FL |
National Provider Identifier
| NPI | 1063404051 |
|---|---|
| Provider Name | William J Grisaitis |
| First Address | Maitland, FL 32751-4762 |
| Second Address | Maitland, FL 32751-4762 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/08/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D57090 | (02) |
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.