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Individual

DR. EDWARD CHARLES RIPPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
(954) 987-2000
Mailing address
514 BRECK CT, BENICIA, CA 94510-1372
(206) 954-5665

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0S19072
FL
207R00000X
Internal Medicine Physician
OP61451434
WA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1285291302
FL
Enumeration date
05/23/2019
Last updated
05/20/2025
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