MEDICARE: DAVID JOEL RIPPE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085N0700X	Neuroradiology Physician	ME55374	FL
2	2085R0202X	Diagnostic Radiology Physician	ME55374	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	09709	OTHER	FL	BCBS OF FLORIDA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033116991
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID JOEL RIPPE M.D.

Provider Business Mailing Address
First Line	:	28 PELICAN ST E
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34113-4018
Country	:	US
Telephone Number	:	407-621-1143
Fax Number	:	407-621-1143

Provider Business Practice Location Address
First Line	:	7050 GALL BLVD
Second Line	:
City	:	ZEPHYRHILLS
State	:	FL
Zip	:	33541-1347
Country	:	US
Telephone Number	:	813-783-6114
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2005
Last Update Date	:	02/13/2025

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Directions to “ DAVID JOEL RIPPE M.D.” Practice Location

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