| Riverside Glades Medical Center | |
|
51 Avenue J Sw -mail Not Delivered To This Rural Address Moore Haven FL 33471-1332 | |
| (863) 946-1000 | |
| (863) 946-1110 |
| Full Name | Riverside Glades Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 51 Avenue J Sw, Moore Haven, Florida |
| Authorized Official Name and Position | John Donald Geake (OWNER) |
| Authorized Official Contact | 8639461000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Glades Medical Center Po Box 1332 51 Ave J Moore Haven FL 33471-1332 Ph: (863) 946-1000 | Riverside Glades Medical Center 51 Avenue J Sw -mail Not Delivered To This Rural Address Moore Haven FL 33471-1332 Ph: (863) 946-1000 |
| NPI Number | 1659416949 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659416949 | NPI | - | NPPES |
| OS7165 | Other | FL | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS7165 (Florida) | Primary |
Johnson Riverside Family Practice Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 43 Avenue J, Moore Haven, FL 33471 Phone: 863-599-1620 | |
Glades Convenient Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 51 Avenue J., Suite 101, Moore Haven, FL 33471 Phone: 863-946-1000 Fax: 863-946-1006 |