Healthcare Provider Details

I. General information

NPI: 1033070461
Provider Name (Legal Business Name): ENRITCHED GYNECOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2025
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2820 NE 214TH ST STE 801
AVENTURA FL
33180-1269
US

IV. Provider business mailing address

920 NE 95TH ST
MIAMI SHORES FL
33138-2518
US

V. Phone/Fax

Practice location:
  • Phone: 800-369-3556
  • Fax:
Mailing address:
  • Phone: 773-426-2592
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JESSICA RITCH
Title or Position: OWNER
Credential: MD
Phone: 773-426-2592