Individual
MARK ANDREW GRISE
Active
Individual
MARK ANDREW GRISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME95178
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME110993
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05483588
—
MS
05
—
1140619
—
LA
01
—
ME95178
MEDICAL LICENSE
FL
Enumeration date
06/22/2006
Last updated
07/21/2022
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