Provider Demographics
NPI:1356996268
Name:GRIGGS, YISSETT MAYERLI (DC)
Entity type:Individual
Prefix:
First Name:YISSETT
Middle Name:MAYERLI
Last Name:GRIGGS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:YISSETT
Other - Middle Name:MAYERLI
Other - Last Name:NUNEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14260 TURNING LEAF DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-7491
Mailing Address - Country:US
Mailing Address - Phone:972-977-7532
Mailing Address - Fax:
Practice Address - Street 1:2206 E COLONIAL DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-4912
Practice Address - Country:US
Practice Address - Phone:407-867-2440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-07
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL13094111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor