Healthcare Provider Details

I. General information

NPI: 1083177539
Provider Name (Legal Business Name): RAFFAELLA PIZIO APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2019
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 SW 28TH LN APT 806
MIAMI FL
33133-3875
US

IV. Provider business mailing address

2900 SW 28TH LN APT 806
MIAMI FL
33133-3875
US

V. Phone/Fax

Practice location:
  • Phone: 305-308-7799
  • Fax:
Mailing address:
  • Phone: 305-308-7799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number9640271
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11050329
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number19-171
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: