Dr. Enrique R Grisoni
Pediatric Surgery
10141 Big Bend Rd 103
Riverview
, Florida 33578-7419
Dr. Enrique R Grisoni
Pediatric Surgery
10141 Big Bend Rd 103
Riverview
, Florida 33578-7419
(727) 532-1325
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About
Features
Specialties
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Dr. Enrique R Grisoni
- Po Box 743409
- Atlanta, GA
- Zip : 30374-3409
- Fax : (727) 532-1325
- Phone : (727) 532-0002
Second Address
- Dr. Enrique R Grisoni
- 10141 Big Bend Rd 103
- Riverview, FL
- Zip : 33578-7419
- Fax : (813) 397-1271
- Phone : (813) 397-1274
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0120X | Pediatric Surgery | ME | FL |
National Provider Identifier
| NPI | 1316949944 |
|---|---|
| Provider Name | Dr. Enrique R Grisoni |
| First Address | Atlanta, GA 30374-3409 |
| Second Address | Riverview, FL 33578-7419 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/08/2005 |
| Last Update Date | 20/05/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 002583200 | (05) | FL |
| 564642-01 | (05) | AZ |
| AZ0884680 | BC/BS (01) | AZ |
| F13551 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.