Individual
STEVEN J RIZZOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
421 KINGSLEY AVE STE 402, ORANGE PARK, FL 32073-4898
(904) 264-8801
(904) 621-0566
Mailing address
160 LAUREL LN, PONTE VEDRA, FL 32082-3908
(406) 260-7604
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
ME143567
FL
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
ME143567
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000006101
BLUE CROSS
MT
05
—
0099424
—
MT
05
—
1225065014
—
MT
05
—
433416
—
AZ
Enumeration date
06/27/2006
Last updated
01/05/2024
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