| Riverview Pediatrics And Family Practice, Inc. | |
|
10420 Us Highway 301 S Riverview FL 33578-5806 | |
| (813) 741-0019 | |
| (813) 741-3290 |
| Full Name | Riverview Pediatrics And Family Practice, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 10420 Us Highway 301 S, Riverview, Florida |
| Authorized Official Name and Position | Yvonne Joan Clarke (PRES) |
| Authorized Official Contact | 8137410019 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverview Pediatrics And Family Practice, Inc. 10420 Us Highway 301 S Riverview FL 33578-5806 Ph: (813) 741-0019 | Riverview Pediatrics And Family Practice, Inc. 10420 Us Highway 301 S Riverview FL 33578-5806 Ph: (813) 741-0019 |
| NPI Number | 1285708396 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 05/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285708396 | NPI | - | NPPES |
| 263800200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME25434 (Florida) | Primary |
| 208000000X | Pediatrics | ME98642 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | ARNP3184902 (Florida) | Secondary |
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