Provider Demographics
NPI:1932307113
Name:DAVID C RITTER M D SURGICAL ONCOLOGY AND GENERAL SURGERY P A
Entity Type:Organization
Organization Name:DAVID C RITTER M D SURGICAL ONCOLOGY AND GENERAL SURGERY P A
Other - Org Name:FLORIDA SURGICAL ONCOLOGY, PA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:C
Authorized Official - Last Name:RITTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-435-7999
Mailing Address - Street 1:PO BOX 20642
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33622-0642
Mailing Address - Country:US
Mailing Address - Phone:239-949-1777
Mailing Address - Fax:239-498-3777
Practice Address - Street 1:9776 BONITA BEACH RD SE
Practice Address - Street 2:SUITE 102
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34135-4773
Practice Address - Country:US
Practice Address - Phone:239-949-1777
Practice Address - Fax:239-949-3777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-10
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL=========OtherTAX ID
FL=========OtherTAX ID