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Individual

ROSARIO MICHAEL RIZZO JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
2239 S WOODLAND BLVD, DELAND, FL 32720-8633
(386) 279-0151
(386) 279-0148
Mailing address
2239 S WOODLAND BLVD, DELAND, FL 32720-8633
(386) 279-0151
(386) 279-0148

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN9044261
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
761368700
FL
01
PN9044261
NURSING LICENSE
FL
Enumeration date
02/19/2007
Last updated
08/29/2012
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