Provider Demographics
NPI:1851373112
Name:ABSOLUTE FAMILY CARE LLC
Entity Type:Organization
Organization Name:ABSOLUTE FAMILY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIETTE
Authorized Official - Middle Name:KIRSTIN
Authorized Official - Last Name:GITTINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:727-945-7122
Mailing Address - Street 1:3007 RIDGELINE BLVD
Mailing Address - Street 2:STE B
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34688-9103
Mailing Address - Country:US
Mailing Address - Phone:727-945-7122
Mailing Address - Fax:727-945-7121
Practice Address - Street 1:3007 RIDGELINE BLVD
Practice Address - Street 2:STE B
Practice Address - City:TARPON SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34688-9103
Practice Address - Country:US
Practice Address - Phone:727-945-7122
Practice Address - Fax:727-945-7121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-14
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL35303YMedicare ID - Type Unspecified
H16726Medicare UPIN