Provider Demographics
NPI:1598212714
Name:RIZZO FAMILY MEDICINE, P.A.
Entity Type:Organization
Organization Name:RIZZO FAMILY MEDICINE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:M
Authorized Official - Last Name:RIZZO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:941-217-6864
Mailing Address - Street 1:2325 S TAMIAMI TRL
Mailing Address - Street 2:SUITE B
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-3807
Mailing Address - Country:US
Mailing Address - Phone:941-217-6864
Mailing Address - Fax:941-217-6868
Practice Address - Street 1:2325 S TAMIAMI TRL
Practice Address - Street 2:STE B
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-3807
Practice Address - Country:US
Practice Address - Phone:941-217-6864
Practice Address - Fax:941-217-6868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-06
Last Update Date:2016-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS12218207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty