Individual
LAWRENCE ADAM RIESZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 S ANDREWS AVE, FT LAUDERDALE, FL 33316-2510
(954) 355-5519
Mailing address
12200 NW 77TH MNR, PARKLAND, FL 33076-4511
(954) 346-3482
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
042718
CT
207P00000X
Emergency Medicine Physician
Primary
ME96288
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275748600
—
FL
Enumeration date
12/19/2005
Last updated
05/16/2008
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