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General NPI Number Information
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NPI Number | 1730378712
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Entity Type | Organization
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Legal Business Name | RIZO'S MEDICAL SERVICES, INC.
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Dates
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Enumeration Date | 10/16/2007
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Last Update Date | 10/16/2007
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Provider Practice Location Address
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Address Line | 1100 SW SAINT LUCIE WEST BLVD SUITE 105
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City | PORT ST LUCIE
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State | FL
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Zip | 34986-1780
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Country | US
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Telephone | 772-344-1775
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Fax | 772-344-1786
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Provider Business Mailing Address
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Address Line | 1100 SW SAINT LUCIE WEST BLVD SUITE 105
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City | PORT ST LUCIE
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State | FL
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Zip | 34986-1780
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Country | US
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Telephone | 772-344-1775
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Fax | 772-344-1786
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARIA LUDY RIZO
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Credential | M.D.
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Telephone | 772-344-1775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME87578
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License Number State | FL
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