MEDICARE: BASSAM RIZK MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	ME21343	FL
2	208C00000X	Colon & Rectal Surgery Physician	ME64544	FL

General Provider Information

NPI Number	:	1053390047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BASSAM RIZK MD

Provider Business Mailing Address
First Line	:	PO BOX 63124
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28263-3124
Country	:	US
Telephone Number	:	904-731-3131
Fax Number	:

Provider Business Practice Location Address
First Line	:	6067 KENNERLY RD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-4305
Country	:	US
Telephone Number	:	904-731-3131
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2006
Last Update Date	:	10/11/2016

Similar Medicare Providers

1053005348 — FIRST COAST ORTHOPEDIC ASSOCIATES LLC
Practice Location Address:

6067 KENNERLY RD
JACKSONVILLE, FL
32216-4305

Practice Phone: 904-731-3131
Practice Fax:

1649039074 — JACKSONVILLE PREMIER ORTHOPEDICS LLC
Practice Location Address:

6067 KENNERLY RD
JACKSONVILLE, FL
32216-4305

Practice Phone: 904-731-3131
Practice Fax:

1063418200 — MR. FRANK A BROWN CRNA
Practice Location Address:

1210 JACKSONS WAY SW
JACKSONVILLE, AL
36265-4305

Practice Phone: 256-435-6999
Practice Fax: 256-435-6999

1619028941 — WILLIAM CHAD WILKERSON D.D.S.,P.L.L.C.
Practice Location Address:

9 CRESTVIEW PLZ STE C
JACKSONVILLE, AR
72076-4305

Practice Phone: 501-985-0180
Practice Fax: 501-985-0416

1528321916 — RAY E. PLUMB, D.D.S.,P.A. II
Practice Location Address:

9 CRESTVIEW PLZ STE C
JACKSONVILLE, AR
72076-4305

Practice Phone: 501-753-9158
Practice Fax:

1154893535 — CAMERON MUNN
Practice Location Address:

1517A OSCEOLA ST
JACKSONVILLE, FL
32204-4305

Practice Phone: 757-284-6119
Practice Fax:

Directions to “ BASSAM RIZK MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.