Healthcare Provider Details
I. General information
NPI: 1033898572
Provider Name (Legal Business Name): RIZZI GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/12/2023
Last Update Date: 08/26/2024
Certification Date: 08/26/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
936 BARCARMIL WAY
NAPLES FL
34110-0903
US
IV. Provider business mailing address
936 BARCARMIL WAY
NAPLES FL
34110-0903
US
V. Phone/Fax
- Phone: 239-265-3391
- Fax: 239-310-2035
- Phone: 239-265-3391
- Fax: 239-310-2035
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207QA0505X |
| Taxonomy | Adult Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ELIZABETH
LARSON
Title or Position: MANAGING PARTNER
Credential:
Phone: 239-265-3391