Provider Demographics
NPI:1669506812
Name:RISTIC, PATRICIA I (MD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:I
Last Name:RISTIC
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8501 SW 124TH AVE STE 211
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-4633
Mailing Address - Country:US
Mailing Address - Phone:055-956-4883
Mailing Address - Fax:305-595-3532
Practice Address - Street 1:8501 SW 124TH AVE STE 211
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-4633
Practice Address - Country:US
Practice Address - Phone:309-595-6488
Practice Address - Fax:305-595-3532
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME74752207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology