Provider Demographics
NPI:1689265936
Name:IJ RIZO ELITE HEALTHCARE LLC
Entity Type:Organization
Organization Name:IJ RIZO ELITE HEALTHCARE LLC
Other - Org Name:BIOLOGIK NP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:INGRID
Authorized Official - Middle Name:
Authorized Official - Last Name:RIZO
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:954-376-1163
Mailing Address - Street 1:924 SE 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-5879
Mailing Address - Country:US
Mailing Address - Phone:954-376-1163
Mailing Address - Fax:
Practice Address - Street 1:924 SE 12TH AVE
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33441-5879
Practice Address - Country:US
Practice Address - Phone:954-376-1163
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-29
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local