Healthcare Provider Details

I. General information

NPI: 1154462133
Provider Name (Legal Business Name): SARA ANN RITTER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 SE OCEAN BLVD SUITE 240
STUART FL
34994-2471
US

IV. Provider business mailing address

4825 SE MANATEE TER
STUART FL
34997-6997
US

V. Phone/Fax

Practice location:
  • Phone: 772-219-0044
  • Fax: 772-219-0709
Mailing address:
  • Phone: 772-288-6974
  • Fax: 772-288-6974

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number854562
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: