Provider Demographics
NPI:1669671913
Name:RIZVI, SYEDA SABEEN NAZ (MD)
Entity type:Individual
Prefix:DR
First Name:SYEDA
Middle Name:SABEEN NAZ
Last Name:RIZVI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9677 SEMINOLE BLVD
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:FL
Mailing Address - Zip Code:33772-2526
Mailing Address - Country:US
Mailing Address - Phone:727-490-9096
Mailing Address - Fax:727-490-9299
Practice Address - Street 1:9677 SEMINOLE BLVD
Practice Address - Street 2:
Practice Address - City:SEMINOLE
Practice Address - State:FL
Practice Address - Zip Code:33772
Practice Address - Country:US
Practice Address - Phone:727-490-9096
Practice Address - Fax:727-490-9299
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME100843207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP01125574OtherRAILROAD MEDICARE
FL005633100Medicaid
FLCJ000YMedicare PIN