Provider Demographics
NPI:1235281767
Name:RITTMAN, CHRISTOPHER J (DO)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:J
Last Name:RITTMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:621 FLORIDA AVE
Mailing Address - Street 2:
Mailing Address - City:LYNN HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:32444-1737
Mailing Address - Country:US
Mailing Address - Phone:850-265-3606
Mailing Address - Fax:850-271-0400
Practice Address - Street 1:621 FLORIDA AVE
Practice Address - Street 2:
Practice Address - City:LYNN HAVEN
Practice Address - State:FL
Practice Address - Zip Code:32444-1737
Practice Address - Country:US
Practice Address - Phone:850-265-3606
Practice Address - Fax:850-271-0400
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS10001207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL91804OtherBCBS
FL91804OtherBCBS