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Dr. Marshall Salvatore Grillo SR., DO
Body Imaging Physician in Lady Lake, Florida
NPI 1245331768

Marshall Salvatore Grillo SR. is a Body Imaging Physician based in Gladwin, FL and is specialized in Body Imaging. Marshall Salvatore Grillo SR. practices in Lady Lake, FL and has the professional credentials of DO. The NPI Number for Marshall Salvatore Grillo SR. is 1245331768 and holds a License No. 5101005492 (Florida).

The current practice location address for Marshall Salvatore Grillo SR. is 5239 Grove Mnr, Lady Lake, FL and can be reached out via phone at 352-753-7591 and via fax at 352-753-7591.

Location: 5239 Grove Mnr, Lady Lake, FL, 48624-1048
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245331768
Provider Name
Marshall Salvatore Grillo SR.
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
5239 Grove Mnr, Lady Lake, FL, 48624-1048
Phone Number
352-753-7591
Fax Number
352-753-7591
Provider Enumeration Date
09/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11137932410267 05 MI
institution
Provider Business Practice Location Address Details
Address
5239 Grove Mnr
City
Lady Lake
State
Florida
Zip
32159-3527
Phone Number
352-753-7591
Fax Number
352-753-7591
person
Provider Business Mailing Address Details
Address
5239 Grove Mnr
City
Lady Lake
State
Florida
Zip
32159-3527
Phone Number
352-753-7591
Fax Number
352-753-7591
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
2085B0100X
License No.
5101005492 (Michigan)
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
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