| Dr Enrique R Grisoni, MD | |
|
10141 Big Bend Rd, 103, Riverview, FL 33578-7419 | |
| (813) 397-1274 | |
| (813) 397-1271 |
| Full Name | Dr Enrique R Grisoni |
|---|---|
| Gender | Male |
| Speciality | Surgery - Pediatric Surgery |
| Location | 10141 Big Bend Rd, Riverview, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316949944 | NPI | - | NPPES |
| AZ0884680 | Other | AZ | BC/BS |
| 564642-01 | Medicaid | AZ | |
| 002583200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0120X | Surgery - Pediatric Surgery | ME (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Enrique R Grisoni, MD Po Box 743409, Atlanta, GA 30374-3409 Ph: (727) 532-0002 | Dr Enrique R Grisoni, MD 10141 Big Bend Rd, 103, Riverview, FL 33578-7419 Ph: (813) 397-1274 |
Dr. Venkatasubramanian Kanthimathinathan, M.D Surgery Medicare: Accepting Medicare Assignments Practice Location: 6043 Winthrop Commerce Ave Ste 201, Riverview, FL 33578 Phone: 813-291-0629 | |
Dariam Cardentey Oliva, MD Surgery Medicare: Medicare Enrolled Practice Location: 3140 S Falkenburg Rd Ste 202, Riverview, FL 33578 Phone: 813-999-3992 | |
Mr. Anthony Joseph Dinova Ii, CSFA Surgery Medicare: Not Enrolled in Medicare Practice Location: 11918 Bahia Valley Dr, Riverview, FL 33579 Phone: 813-217-2734 | |
Dr. Michelle Fisher, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: Florida Ent & Allergy, 13015 Summerfield Square Dr, Riverview, FL 33578 Phone: 813-879-8045 Fax: 855-388-5356 |