Individual provider · Type 1 NPI

Jose Grullon

Maternal Newborn Registered Nurse · Lutz, FL

NPI number 1659960334 Active

Practice location

18033 Promenade Park Ln Apt 404
Lutz, FL 33548-7982

Specialties and licenses

TaxonomyCodeLicense
Maternal Newborn Registered Nurse Primary 163WM0102XRN9455977 (FL)

Maternal Newborn Registered Nurse: Definition to come...

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About NPI 1659960334

Jose Grullon's National Provider Identifier is 1659960334, issued on Jan 15, 2021. The primary taxonomy on file is Maternal Newborn Registered Nurse (163WM0102X), and the practice location is in Lutz, FL. The record was last updated on Jan 15, 2021.