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Dr. Carlos P Grullon, MD
Cardiovascular Disease Physician in Lake Mary, Florida
NPI 1427154756

Carlos P Grullon is a Cardiovascular Disease Physician based in Lake Mary, FL and is specialized in Cardiovascular Disease. Carlos P Grullon practices in Lake Mary, FL and has the professional credentials of MD. The NPI Number for Carlos P Grullon is 1427154756 and holds a License No. ME64646 (Florida).

The current practice location address for Carlos P Grullon is 910 Williston Park Pt, Lake Mary, FL and can be reached out via phone at 407-833-8028 and via fax at 407-833-8033.

Location: 910 Williston Park Pt, Lake Mary, FL, 32746-2172
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427154756
Provider Name
Carlos P Grullon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
910 Williston Park Pt, Lake Mary, FL, 32746-2172
Phone Number
407-833-8028
Fax Number
407-833-8033
Provider Enumeration Date
09/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
23177 01 FL BLUE SHIELD OF FL
institution
Provider Business Practice Location Address Details
Address
910 Williston Park Pt
City
Lake Mary
State
Florida
Zip
32746-2172
Phone Number
407-833-8028
Fax Number
407-833-8033
person
Provider Business Mailing Address Details
Address
910 Williston Park Pt
City
Lake Mary
State
Florida
Zip
32746-2172
Phone Number
407-833-8028
Fax Number
407-833-8033
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
ME64646 (Florida)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Nuclear Medicine
Speciality
Nuclear Cardiology
Taxonomy
207UN0901X
License No.
ME64646 (Florida)
Definition
A nuclear medicine physician who specializes in nuclear cardiology.
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