Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | OS10293 | FL |
Y | 207VG0400X | Gynecologist | OS10293 | FL |
NPI | 1063672335 |
---|---|
Provider Name | Mrs. Brooke Ellen Ritter |
First Address | Belleair, FL 33756-7309 |
Second Address | Tampa, FL 33607-1750 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2008 |
Last Update Date | 29/04/2020 |