Grisales, Dario Aquiles

Grisales, Dario Aquiles is an individual health care provider with primary practice located at 16542 N Dale Mabry Hwy , Tampa FL 33618-1325. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Grisales, Dario Aquiles can be contacted via phone (813) 908-7868.

Contact Information

Primary practice address
16542 N Dale Mabry Hwy Tampa FL 33618-1325
Phone: (813) 908-7868
Fax: (813) 908-8091
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X ME79046 Florida

Profile Details

NPI number 1407839806
LBN Legal business name Grisales, Dario Aquiles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated May 6th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407839806 NPPES
Florida Other P00246786 RAILROAD MEDICARE
Florida Other 03185 RAILROAD MEDICARE

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