Healthcare Provider Details

I. General information

NPI: 1285293902
Provider Name (Legal Business Name): RICHARD NATHAN PUZZITIELLO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2019
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 SR 64 E
BRADENTON FL
34212-7703
US

IV. Provider business mailing address

8000 SR 64 E
BRADENTON FL
34212-7703
US

V. Phone/Fax

Practice location:
  • Phone: 941-792-1404
  • Fax: 941-761-0712
Mailing address:
  • Phone: 941-792-1404
  • Fax: 941-761-0712

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME174076
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: