Provider Demographics
NPI:1063670669
Name:LOOPER, BRITNI HILL (MD)
Entity Type:Individual
Prefix:
First Name:BRITNI
Middle Name:HILL
Last Name:LOOPER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BRITNI
Other - Middle Name:NICOLE
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:601 5TH ST S
Mailing Address - Street 2:SUITE 608
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-4804
Mailing Address - Country:US
Mailing Address - Phone:727-767-4106
Mailing Address - Fax:
Practice Address - Street 1:601 5TH ST S
Practice Address - Street 2:SUITE 608
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-4804
Practice Address - Country:US
Practice Address - Phone:727-767-4106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-30
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME110107208000000X, 2080P0207X
MT997262080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS300910YJ5DMedicare PIN