Provider Demographics
NPI:1740210624
Name:RITUCCI-CHINNI, FRANZ GREGORY (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANZ
Middle Name:GREGORY
Last Name:RITUCCI-CHINNI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8201 W IRLO BRONSON HWY
Mailing Address - Street 2:SUITE 50, PMB 324
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34747-8202
Mailing Address - Country:US
Mailing Address - Phone:407-521-5789
Mailing Address - Fax:
Practice Address - Street 1:3010 HUNTERS CREEK BLVD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-6968
Practice Address - Country:US
Practice Address - Phone:407-240-0129
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2016-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL58309207Q00000X, 261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLF20309Medicare UPIN
FL14889TMedicare ID - Type Unspecified