Organization · Type 2 NPI

Riverside Family Practice PA

Clinic/Center · Fort Myers, FL

NPI number 1649233545 Active

Practice location

14651 Palm Beach Blvd
Fort Myers, FL 33905-2331

Fax (239) 694-8941

Mailing address

PO Box 51589
Fort Myers, FL 33994-1589

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

8 other providers at this address

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About NPI 1649233545

Riverside Family Practice PA's National Provider Identifier is 1649233545, issued on Apr 11, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Fort Myers, FL. The record was last updated on Feb 11, 2008.