Individual
DR. MARIA LUDY RIZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
437 SW BETHANY DR, PORT ST LUCIE, FL 34986-2136
(772) 344-1775
(772) 344-1786
Mailing address
437 SW BETHANY DR, PORT ST LUCIE, FL 34986-2136
(561) 344-1775
(772) 344-1786
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME87578
FL
2080A0000X
Pediatric Adolescent Medicine Physician
ME87578
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01744072
—
NY
05
—
275172100
—
FL
01
—
78295
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/02/2006
Last updated
03/07/2023
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