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Organization
LINDA RITTER LLC
Active
Organization
LINDA RITTER LLC
Active
Other names
Impact Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA RITTER APRN (OWNER)
(941) 662-5408
Entity
Organization
Contact information
Practice address
244 SHAMROCK BLVD, VENICE, FL 34293-1631
(941) 662-5408
Mailing address
722 SHAMROCK BLVD, VENICE, FL 34293-1835
(941) 662-5408
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14490886
CAQH
FL
Enumeration date
11/11/2021
Last updated
11/11/2021
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