| Riverview Medical, Inc | |
|
10732 Ketchum Valley Dr Riverview FL 33579-7185 | |
| (813) 677-2700 | |
| (813) 677-6355 |
| Full Name | Riverview Medical, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10732 Ketchum Valley Dr, Riverview, Florida |
| Authorized Official Name and Position | Steven Joseph Minafri (PRESIDENT) |
| Authorized Official Contact | 8136772700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverview Medical, Inc 10732 Ketchum Valley Dr Riverview FL 33579-7185 Ph: (813) 677-2700 | Riverview Medical, Inc 10732 Ketchum Valley Dr Riverview FL 33579-7185 Ph: (813) 677-2700 |
| NPI Number | 1972989713 |
|---|---|
| Provider Enumeration Date | 08/04/2015 |
| Last Update Date | 05/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972989713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME54579 (Florida) | Primary |
| 363AM0700X | Physician Assistant - Medical | PA91008766 (Florida) | Secondary |
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