Individual
DR. MARITZA RIASCOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1341 MEDICAL PARK DR, SUITE 101A, MELBOURNE, FL 32901-3235
(321) 733-2711
(321) 733-2011
Mailing address
315 E NASA BLVD, MELBOURNE, FL 32901-1939
(321) 733-2711
(321) 733-2011
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME90299
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274608500
—
FL
Enumeration date
06/27/2005
Last updated
02/11/2015
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