RIVERSIDE FAMILY PRACTICE PA

FORT MYERS, FL
NPI1649233545
Entity TypeOrganization
Authorized ContactPETER LAUTENBACH
Owner
239-694-7887
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2006-04-11
Last Update Date2008-02-11
Business Address
RIVERSIDE FAMILY PRACTICE PA
14651 PALM BEACH BLVD
FORT MYERS, FL 33905-2331
Phone number: 239-694-7887
Mailing Address
RIVERSIDE FAMILY PRACTICE PA
PO BOX 51589
FORT MYERS, FL 33994-1589
Phone number: 239-694-7887
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