Healthcare Provider Details

I. General information

NPI: 1356819007
Provider Name (Legal Business Name): RICHARD RIZO NP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/09/2018
Last Update Date: 11/10/2022
Certification Date: 11/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1725 N UNIVERSITY DR STE 350
CORAL SPRINGS FL
33071-6000
US

IV. Provider business mailing address

1725 N UNIVERSITY DR STE 350
CORAL SPRINGS FL
33071-6000
US

V. Phone/Fax

Practice location:
  • Phone: 954-227-2700
  • Fax: 954-227-2704
Mailing address:
  • Phone: 954-227-2700
  • Fax: 954-227-2704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number000000000
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11005478
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: