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General NPI Number Information
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NPI Number | 1598212714
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Entity Type | Organization
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Legal Business Name | RIZZO FAMILY MEDICINE, P.A.
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Dates
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Enumeration Date | 09/06/2016
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 2325 S TAMIAMI TRL STE B
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City | SARASOTA
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State | FL
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Zip | 34239-3807
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Country | US
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Telephone | 941-217-6864
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Fax | 941-217-6868
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Provider Business Mailing Address
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Address Line | 2325 S TAMIAMI TRL SUITE B
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City | SARASOTA
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State | FL
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Zip | 34239-3807
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Country | US
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Telephone | 941-217-6864
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Fax | 941-217-6868
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID M RIZZO
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Credential | D.O
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Telephone | 941-217-6864
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS12218
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License Number State | FL
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