Fitzgerald, Ryan Everett

Fitzgerald, Ryan Everett is an individual health care provider with primary practice located at 625 6Th Ave S Ste 450 , St Petersburg FL 33701-4629. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery is his primary health care specialty. Fitzgerald, Ryan Everett can be contacted via phone (727) 898-2663.

Contact Information

Primary practice address
625 6Th Ave S Ste 450 St Petersburg FL 33701-4629
Phone: (727) 898-2663
Fax: (727) 568-6836
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME153854 Florida
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery 207XP3100X ME153854 Florida

Profile Details

NPI number 1063702314
LBN Legal business name Fitzgerald, Ryan Everett
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2011
Last updated Jun 8th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063702314 NPPES
Florida MEDICAID 113017600

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