Organization · Type 2 NPI
Riviera Plaza Medical Office LLC
Primary Care Clinic/Center · Holly Hill, FL
NPI number
1013338144
Active
Practice location
1702 Ridgewood Ave, Suite I
Holly Hill, FL 32117-5416
Fax (386) 677-1475
Mailing address
208 N Halifax Ave, SUITE1
Daytona Beach, FL 32118-4159
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | ME47765 (FL) |
Primary Care Clinic/Center: Definition to come...
2 other providers at this address
Other primary care clinic/center providers in Holly Hill
About NPI 1013338144
Riviera Plaza Medical Office LLC's National Provider Identifier is 1013338144, issued on Dec 16, 2013. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Holly Hill, FL. The record was last updated on Apr 23, 2014.