RIVERS EDGE BOUTIQUE MEDICINE LLC

NEW PORT RICHEY, FL
NPI1033970454
Entity TypeOrganization
Authorized ContactTRACY GREENE
Owner
727-342-4955
Organization Subpart ?No
Primary Taxonomy207QA0505X Family Medicine, Adult Medicine
Enumeration Date2024-01-22
Last Update Date2024-01-22
Business Address
RIVERS EDGE BOUTIQUE MEDICINE LLC
5647 MAIN ST STE 1&2
NEW PORT RICHEY, FL 34652-2641
Phone number: 727-831-8376
Mailing Address
RIVERS EDGE BOUTIQUE MEDICINE LLC
5647 MAIN ST STE 1&2
NEW PORT RICHEY, FL 34652-2641
Phone number: 727-831-8376