| NPI | 1477568186 |
|---|---|
| Doing Business As | RIVERSIDE FAMILY HEALTH PL |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY NAOUMOFF Practice Manager 321-453-5252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| 363AM0700X Physician Assistant, Medical | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2023-01-30 |