| Rivers Edge Primary Care | |
|
14445 Us Highway 1 Sebastian FL 32958-3238 | |
| (772) 202-2265 | |
| (772) 361-6362 |
| Full Name | Rivers Edge Primary Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 14445 Us Highway 1, Sebastian, Florida |
| Authorized Official Name and Position | Christine a Festa (OWNER) |
| Authorized Official Contact | 7722022265 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rivers Edge Primary Care 14445 Us Highway 1 Sebastian FL 32958-3238 Ph: (772) 202-2265 | Rivers Edge Primary Care 14445 Us Highway 1 Sebastian FL 32958-3238 Ph: (772) 202-2265 |
| NPI Number | 1184341083 |
|---|---|
| Provider Enumeration Date | 10/21/2022 |
| Last Update Date | 10/24/2025 |
| Certification Date | 10/24/2025 |
| Medicare PECOS PAC ID | 2365814555 |
|---|---|
| Medicare Enrollment ID | O20230216002313 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184341083 | NPI | - | NPPES |
| 1255803649 | Other | FL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Christine a Festa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255803649 PECOS PAC ID: 2264762913 Enrollment ID: I20190924001848 |
| Provider Name | Charissa N Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679219620 PECOS PAC ID: 7012392061 Enrollment ID: I20220912003874 |
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