Individual
DR. KRISTINE BUDD RIETSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
4712 N ARMENIA AVE, SUITE 102, TAMPA, FL 33603-2611
(813) 879-5716
(813) 877-4890
Mailing address
PO BOX 10744, CLEARWATER, FL 33757-8744
(727) 532-0002
(727) 266-4943
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS13857
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019242200
—
FL
Enumeration date
03/20/2013
Last updated
05/31/2017
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