Individual
RYAN EVERETT FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
625 6TH AVE S STE 450, ST PETERSBURG, FL 33701-4629
(727) 898-2663
(727) 568-6836
Mailing address
625 6TH AVE S STE 450, ST PETERSBURG, FL 33701-4629
(727) 898-2663
(727) 568-6836
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
ME153854
FL
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
ME153854
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113017600
—
FL
Enumeration date
04/07/2011
Last updated
06/08/2023
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