Provider Demographics
NPI:1366440034
Name:HILL, SUSAN RITROSKY (MD)
Entity type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:RITROSKY
Last Name:HILL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 S VOLUSIA AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32763-5839
Mailing Address - Country:US
Mailing Address - Phone:386-775-7500
Mailing Address - Fax:386-775-1904
Practice Address - Street 1:211 S VOLUSIA AVE
Practice Address - Street 2:
Practice Address - City:ORANGE CITY
Practice Address - State:FL
Practice Address - Zip Code:32763-5839
Practice Address - Country:US
Practice Address - Phone:386-775-7500
Practice Address - Fax:386-775-1904
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME66532207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLF81694Medicare UPIN
25357XMedicare PIN
FL110243399Medicare PIN