| Family Medical Care Of Riverview Pa | |
|
7229 Us Highway 301 S Riverview FL 33578-4346 | |
| (813) 677-8418 | |
| (813) 677-8419 |
| Full Name | Family Medical Care Of Riverview Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 7229 Us Highway 301 S, Riverview, Florida |
| Authorized Official Name and Position | Eddie G. Louderback (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 8136778418 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Care Of Riverview Pa 7229 Us Highway 301 S Riverview FL 33578-4346 Ph: (813) 677-8418 | Family Medical Care Of Riverview Pa 7229 Us Highway 301 S Riverview FL 33578-4346 Ph: (813) 677-8418 |
| NPI Number | 1922192574 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 01/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922192574 | NPI | - | NPPES |
| 263029000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Florida) | Primary |
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