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Individual

DR. DAVID RANDOLPH RIZZUTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
732 N 3RD ST, LEESBURG, FL 34748-4442
(352) 265-8356
(352) 787-0854
Mailing address
PO BOX 100275, GAINESVILLE, FL 32610-0275
(352) 273-7839
(352) 273-8172

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME95008
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
274650600
FL
01
37068
BCBS OF FL
FL
Enumeration date
03/30/2006
Last updated
01/28/2022
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