Healthcare Provider Details

I. General information

NPI: 1285638023
Provider Name (Legal Business Name): RITCHIE R PLUMMER D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2005
Last Update Date: 11/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9238 US HIGHWAY 19
PORT RICHEY FL
34668-4853
US

IV. Provider business mailing address

11528 US HIGHWAY 19
PORT RICHEY FL
34668-1442
US

V. Phone/Fax

Practice location:
  • Phone: 727-849-8491
  • Fax: 727-849-3483
Mailing address:
  • Phone: 727-868-2151
  • Fax: 727-819-8362

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS0004175
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: