Provider Demographics
NPI:1053377267
Name:NEUMANN, RITA (DOM, AP)
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:
Last Name:NEUMANN
Suffix:
Gender:F
Credentials:DOM, AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 S MOODY AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-3335
Mailing Address - Country:US
Mailing Address - Phone:813-254-1998
Mailing Address - Fax:813-259-1152
Practice Address - Street 1:203 S MOODY AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-3335
Practice Address - Country:US
Practice Address - Phone:813-254-1998
Practice Address - Fax:813-259-1152
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2009-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP505171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAP-505OtherACUPUNCTURE PHYSICIAN