Provider Demographics
NPI:1427092881
Name:RIZK, CHRISTINE R (MD)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:R
Last Name:RIZK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83 W MILLER ST FL 9
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-2031
Mailing Address - Country:US
Mailing Address - Phone:321-843-8370
Mailing Address - Fax:321-841-8085
Practice Address - Street 1:83 W MILLER ST FL 9
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-2031
Practice Address - Country:US
Practice Address - Phone:321-843-8370
Practice Address - Fax:321-841-8085
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT054837208600000X
MA295549208600000X
FLME171354208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL125175900Medicaid