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NPI Code Detail

MEDICARE: DR. SALVATORE STEVEN GRASSO D.O

MEDICARE:  DR. SALVATORE STEVEN GRASSO  D.O
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology PhysicianOS16850FL

General Provider Information

NPI Number : 1194266866
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SALVATORE STEVEN GRASSO D.O
Provider Business Mailing Address
First Line : 23077 NW 4TH PL
Second Line :
City : NEWBERRY
State : FL
Zip : 32669-3542
Country : US
Telephone Number : 941-376-3883
Fax Number :
Provider Business Practice Location Address
First Line : 1700 S TAMIAMI TRL
Second Line :
City : SARASOTA
State : FL
Zip : 34239-3509
Country : US
Telephone Number : 941-376-3883
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2017
Last Update Date : 01/20/2026

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Directions to “ DR. SALVATORE STEVEN GRASSO D.O” Practice Location

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