Provider Demographics
NPI:1316155948
Name:GLORIA RIBAS-SCHULTZ MD PL
Entity type:Organization
Organization Name:GLORIA RIBAS-SCHULTZ MD PL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RIBAS-SCHULTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-752-8900
Mailing Address - Street 1:1601 W REYNOLDS ST STE 203
Mailing Address - Street 2:
Mailing Address - City:PLANT CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33563-4747
Mailing Address - Country:US
Mailing Address - Phone:813-752-8900
Mailing Address - Fax:813-752-8997
Practice Address - Street 1:1601 W REYNOLDS ST STE 203
Practice Address - Street 2:
Practice Address - City:PLANT CITY
Practice Address - State:FL
Practice Address - Zip Code:33563-4747
Practice Address - Country:US
Practice Address - Phone:813-752-8900
Practice Address - Fax:813-752-8997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME64673208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty