Provider Demographics
NPI:1962797092
Name:CITTERBART, RHONEL LANIQUE (MD)
Entity type:Individual
Prefix:DR
First Name:RHONEL
Middle Name:LANIQUE
Last Name:CITTERBART
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RHONEL
Other - Middle Name:LANIQUE
Other - Last Name:TRIMMINGHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:26844 TANIC DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-4616
Mailing Address - Country:US
Mailing Address - Phone:813-779-6303
Mailing Address - Fax:888-977-1998
Practice Address - Street 1:26844 TANIC DR
Practice Address - Street 2:SUITE 101
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-4616
Practice Address - Country:US
Practice Address - Phone:813-779-6303
Practice Address - Fax:888-977-1998
Is Sole Proprietor?:No
Enumeration Date:2011-06-16
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101249824207R00000X
FLME121196207R00000X
OH35.137962207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine