Grisoni, Enrique R
Grisoni, Enrique R is an individual health care provider with primary practice located at 10141 Big Bend Rd 103, Riverview FL 33578-7419. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Grisoni, Enrique R can be contacted via phone (813) 397-1274.Contact Information
Primary practice address
10141 Big Bend Rd 103
Riverview FL 33578-7419
Phone: (813) 397-1274
Fax: (813) 397-1271
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | ME | Florida |
Profile Details
| NPI number | 1316949944 |
|---|---|
| LBN Legal business name | Grisoni, Enrique R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | May 20th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316949944 | NPPES |
| Arizona | Other | AZ0884680 | BC/BS |
| Arizona | MEDICAID | 564642-01 | BC/BS |
| Arizona | MEDICAID | 002583200 | BC/BS |
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