| Doctor Name: | DR. DENIS WALTER GRILLO |
| NPI Number: | 1235127937 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | OS5716 |
| Business Practice Address: | 790 Se 5th Ter Crystal River, FL - 344294852 |
| Business Phone Number: | 3527950011 |
| Business Fax Number: | 3527959481 |
| Mailing Address: | 790 Se 5th Ter, CRYSTAL RIVER |
| State: | FL |
| Postal Code: | 344294852 |
| Phone Number: | 3527950011 |
| Fax Number: | 3527959481 |
| NPI Enumeration Date: | 10/07/2005 |
| NPI Last Update Date: | 06/10/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207YX0905X |
| License Number: | OS5716 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Otolaryngology |
| Taxonomy Specialization: | Otolaryngology/Facial Plastic Surgery |
| Taxonomy Definition: | An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |