Provider Demographics
NPI:1558014514
Name:BITTER, BRITTANY MARGARET (PA-C, MCMSC)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:MARGARET
Last Name:BITTER
Suffix:
Gender:F
Credentials:PA-C, MCMSC
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:MARGARET
Other - Last Name:GODFREY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:777 N ORANGE AVE APT 738
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32801-1189
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:777 N ORANGE AVE APT 738
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32801-1189
Practice Address - Country:US
Practice Address - Phone:561-635-3710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-31
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1193899363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant