Provider Demographics
NPI:1326023607
Name:RINGEWALD, JEREMY M (MD)
Entity Type:Individual
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First Name:JEREMY
Middle Name:M
Last Name:RINGEWALD
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3003 W DR MLK JR BLVD
Mailing Address - Street 2:3RD FLOOR MAB MS# 3043
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607
Mailing Address - Country:US
Mailing Address - Phone:727-322-4830
Mailing Address - Fax:813-870-0100
Practice Address - Street 1:3003 W. DR. MARTIN LUTHER KING JR. BLVD, 3RD FLOOR
Practice Address - Street 2:PEDIATRIX MEDICAL GROUP OF FLORIDA, INC.
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6307
Practice Address - Country:US
Practice Address - Phone:813-554-8701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-09
Last Update Date:2018-06-15
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Provider Licenses
StateLicense IDTaxonomies
SC273712080P0202X
FLME1045902080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H50273Medicare UPIN