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:
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Health care specialties

SpecialtyCodeLicense #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 9 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 1316949944 NPPES
Arizona Other AZ0884680 BC/BS
Arizona MEDICAID 564642-01 BC/BS
Arizona MEDICAID 002583200 BC/BS

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