Individual
BASSAM RIZK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6067 KENNERLY RD, JACKSONVILLE, FL 32216-4305
(904) 731-3131
Mailing address
PO BOX 63124, CHARLOTTE, NC 28263-3124
(904) 731-3131
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME21343
FL
208C00000X
Colon & Rectal Surgery Physician
ME64544
FL
Other
Enumeration date
01/10/2006
Last updated
10/11/2016
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