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
—
—
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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