Healthcare Provider Details

I. General information

NPI: 1932307113
Provider Name (Legal Business Name): DAVID C RITTER M D SURGICAL ONCOLOGY AND GENERAL SURGERY P A
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2007
Last Update Date: 08/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9776 BONITA BEACH RD SE SUITE 102
BONITA SPRINGS FL
34135-4773
US

IV. Provider business mailing address

PO BOX 20642
TAMPA FL
33622-0642
US

V. Phone/Fax

Practice location:
  • Phone: 239-949-1777
  • Fax: 239-949-3777
Mailing address:
  • Phone: 239-949-1777
  • Fax: 239-498-3777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID C RITTER
Title or Position: OWNER/DIRECTOR
Credential: MD
Phone: 239-435-7999