Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lissette Grillo

Individual provider Community Health Registered Nurse · NPI 1700668126

Lissette Grillo is a Community Health Registered Nurse in Daytona Beach, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2023

Practice location Address checks out

1845 Holsonback Dr
Daytona Beach, FL 32117-5114
Phone: (386) 274-0500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Registered Nurse (primary) Taxonomy 163WC1500X · Licence RN9352671 (FL)

Record details

NPI number1700668126
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 19, 2023
Last updated in NPPESOctober 19, 2023
Certification dateOctober 19, 2023
Mailing address690 Cheltenham Ave, Deltona, FL 32738-9008

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