Grise, Mark Andrew

Grise, Mark Andrew is an individual health care provider with primary practice located at 5151 N 9Th Ave Ste 200 , Pensacola FL 32504-8721. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Grise, Mark Andrew can be contacted via phone (850) 416-4970.

Contact Information

Primary practice address
5151 N 9Th Ave Ste 200 Pensacola FL 32504-8721
Phone: (850) 416-4970
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME95178 Florida
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X ME110993 Florida

Profile Details

NPI number 1215963442
LBN Legal business name Grise, Mark Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Jul 21st, 2022 - about 3 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 1215963442 NPPES
Louisiana MEDICAID 1140619
Louisiana MEDICAID 05483588
Louisiana Other ME95178

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