MEDICARE: GRISELDA GRULLON M.D

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
1	208000000X	Pediatrics Physician	ME80991	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639231640
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRISELDA GRULLON M.D

Provider Business Mailing Address
First Line	:	4913 S DIXIE HWY
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33405-2926
Country	:	US
Telephone Number	:	561-586-6300
Fax Number	:	561-586-6389

Provider Business Practice Location Address
First Line	:	4913 S DIXIE HWY
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33405-2926
Country	:	US
Telephone Number	:	561-586-6300
Fax Number	:	561-586-6389

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1730303850 — MRS. LOAN LEMINH DDS
Practice Location Address:

4911 S DIXIE HWY
WEST PALM BEACH, FL
33405-2926

Practice Phone: 561-582-5273
Practice Fax: 561-582-5255

1235323098 — MD OMEGA PHARMACY
Practice Location Address:

4915 S DIXIE HWY
WEST PALM BEACH, FL
33405-2926

Practice Phone: 561-547-7710
Practice Fax: 561-547-7719

1760705263 — FIRST CARE DENTAL OF PALM BEACH, PA
Practice Location Address:

4911 S DIXIE HWY
WEST PALM BEACH, FL
33405-2926

Practice Phone: 561-582-5273
Practice Fax:

1134503329 — DR. ERIKA GRANADA-RAMIREZ DDS
Practice Location Address:

4911 S DIXIE HWY
WEST PALM BEACH, FL
33405-2926

Practice Phone: 561-582-5273
Practice Fax: 561-582-5255

1942074588 — SARAH LAKS DDS
Practice Location Address:

4911 S DIXIE HWY
WEST PALM BEACH, FL
33405-2926

Practice Phone: 561-582-5273
Practice Fax:

Directions to “ GRISELDA GRULLON M.D” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.