Rutledge, Demetria Lavette

Rutledge, Demetria Lavette is an individual health care provider with primary practice located at 10141 Big Bend Rd Ste 101 , Riverview FL 33578. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Rutledge, Demetria Lavette can be contacted via phone (813) 397-1270.

Contact Information

Primary practice address
10141 Big Bend Rd Ste 101 Riverview FL 33578
Phone: (813) 397-1270
Fax: (813) 397-1271
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 9181104 Florida
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X APRN9181104 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 10010881 Oregon

Profile Details

NPI number 1821503111
LBN Legal business name Rutledge, Demetria Lavette
Credentials APRN-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2017
Last updated Dec 19th, 2023 - about 3 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 1821503111 NPPES
Florida MEDICAID 101700500

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