Jose Enrique Cosme Grullon

NPI #1124507520 in Saint Cloud, Florida

Provider Information

NPI Number: 1124507520
Entity Type: Individual
Name: Jose Enrique Cosme Grullon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Aug 7, 2018
Last Updated: Aug 7, 2018

Practice Location

Address: 3201 BUDINGER AVE
City: Saint Cloud
State: Florida
ZIP Code: 34769-7203
Phone: (407) 891-3054

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Social Worker	104100000X	Primary

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