Individual
MARK F. LORIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4901 GRANDE DR, PENSACOLA, FL 32504-5935
(850) 477-7042
(850) 474-9060
Mailing address
4901 GRANDE DR, PENSACOLA, FL 32504-5935
(850) 477-7042
(850) 474-9060
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME53947
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009000370
—
AL
05
—
047612900
—
FL
01
—
050015909
RAILROAD MEDICARE
FL
01
—
08266
BLUECROSS & BLUE SHIELD
FL
01
—
59092919
BLUECROSS & BLUESHIELD
AL
01
—
Z190
HEALTH FIRST NETWORK
FL
Enumeration date
08/10/2005
Last updated
11/14/2011
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