Individual ProviderRita MedwidDentistDental ProvidersPractice Address725 SE Osceola St, Suite 1, Stuart, FL 34994-2318(772) 287-2338PECOS EnrollmentBased on the most recent information from CMS, provider Rita Medwid is legally eligible to order and refer claims for Part B, HHA and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1346639036Provider TypeIndividualFull NameMedwid, RitaCredentialDDSGenderFemaleSole ProprietorYesEnumeration Date1/18/2015Last Updated1/18/2015Contact InformationPractice LocationPractice Address725 SE Osceola St, Suite 1, Stuart, FL 34994-2318Phone(772) 287-2338FaxUnlisted FaxMailing LocationMailing Address725 SE Osceola St, Suite 1, Stuart, FL 34994-2318Phone(772) 287-2338FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode122300000XPrimaryDescriptionDentistDental ProvidersLicenseDN8933FloridaProvider IdentifiersIDDescriptionIssuerID1346450228DescriptionOtherIssuerNPIFlorida