Organization · Type 2 NPI
Rivers Edge Boutique Medicine LLC
Adult Medicine Physician · New Port Richey, FL
NPI number
1033970454
Active
Practice location
5647 Main St Ste 1&2
New Port Richey, FL 34652-2641
Other practice locations
- 1454 Main St Ste B, Dunedin, FL 34698-6254 · (727) 831-8376
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | None listed |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
Other adult medicine physician providers in New Port Richey
About NPI 1033970454
Rivers Edge Boutique Medicine LLC's National Provider Identifier is 1033970454, issued on Jan 22, 2024. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in New Port Richey, FL. The record was last updated on Jan 22, 2024.