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NPI Code Detail

MEDICARE: DR. LOUIS A GRASSO III D.C.

MEDICARE:  DR. LOUIS A GRASSO III D.C.
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
1111N00000XChiropractorCH004141FL

Other Identifiers

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

General Provider Information

NPI Number : 1760479463
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LOUIS A GRASSO III D.C.
Provider Business Mailing Address
First Line : 335 W OAK ST
Second Line :
City : KISSIMMEE
State : FL
Zip : 34741-4421
Country : US
Telephone Number : 407-870-1959
Fax Number : 407-846-9942
Provider Business Practice Location Address
First Line : 335 W OAK ST
Second Line :
City : KISSIMMEE
State : FL
Zip : 34741-4421
Country : US
Telephone Number : 407-870-1959
Fax Number : 407-846-9942
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2005
Last Update Date : 07/08/2007

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Directions to “ DR. LOUIS A GRASSO III D.C.” Practice Location

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