Provider Demographics
NPI:1083177539
Name:PIZIO, RAFFAELLA (SA-C , FS, IMG)
Entity Type:Individual
Prefix:
First Name:RAFFAELLA
Middle Name:
Last Name:PIZIO
Suffix:
Gender:F
Credentials:SA-C , FS, IMG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2288 TEQUESTA WAY
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-3106
Mailing Address - Country:US
Mailing Address - Phone:305-308-7799
Mailing Address - Fax:
Practice Address - Street 1:2288 TEQUESTA WAY
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-3106
Practice Address - Country:US
Practice Address - Phone:305-308-7799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-11
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL19-171246ZC0007X
FL9640271163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant