Provider Demographics
NPI:1992977755
Name:LEON-RITCH, GISELE ANNE (DOM, AP)
Entity type:Individual
Prefix:DR
First Name:GISELE
Middle Name:ANNE
Last Name:LEON-RITCH
Suffix:
Gender:F
Credentials:DOM, AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 NW 180TH TER
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33029-2825
Mailing Address - Country:US
Mailing Address - Phone:954-435-4900
Mailing Address - Fax:954-435-4922
Practice Address - Street 1:2141 NW 185TH WAY
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33029-3866
Practice Address - Country:US
Practice Address - Phone:954-538-8728
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-01
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 2460171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist