Riverside Family Practice Pa in Fort Myers - Clinic/center
Riverside Family Practice Pa - NPI 1649233545
Riverside Family Practice Pa is a Clinic/center in Fort Myers, Florida. Riverside Family Practice Pa practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Riverside Family Practice Pa is 1649233545. The last update date is 2008-02-11.
Riverside Family Practice Pa's current location address is Po Box 51589, Fort Myers, Florida. You can contact this provider via phone number 2396947887 and fax number 2396948941. The mailing address for Riverside Family Practice Pa is Po Box 51589, Fort Myers, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Riverside Family Practice Pa |
|---|---|
| Address | Po Box 51589, Fort Myers, Florida |
| Phone Number | 2396947887 |
| Fax Number | 2396948941 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Lautenbach Peter |
| Credentials | DO |
| Telephone Number | 2396947887 |
NPI Number Detail
| NPI Number | 1649233545 |
|---|---|
| Provider Enumeration Date | 2006-04-11 |
| Last Updated Date | 2008-02-11 |
Provider Mailing Address Detail
| Address | Po Box 51589 |
|---|---|
| City | Fort Myers |
| State | Florida (FL) |
| Post Code | 339941589 |
| Phone Number | 2396947887 |
| Fax Number | 2396948941 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
|
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Post Comment/ Review Below
What is the Riverside Family Practice Pa's unique identification number?
The Riverside Family Practice Pa has been assigned the NPI (National Provider Identifier) Number 1649233545 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Riverside Family Practice Pa?
The Riverside Family Practice Pa is situated at Po Box 51589, in the city of Fort Myers, state of FL, with the zip code 339941589.
What is Riverside Family Practice Pa's specialized field of practice, and what is the corresponding taxonomy classification code?
The Riverside Family Practice Pa's area of specialization is Clinic/center, and the corresponding taxonomy code that categorizes this field of practice is 261Q00000X.
When did Riverside Family Practice Pa receive its 1649233545 assignment?
The Riverside Family Practice Pa was assigned its 1649233545 on 2006-04-11, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Riverside Family Practice Pa last refreshed?
The information related to the Riverside Family Practice Pa, including its address, specialty, and other relevant details, was last updated on 2008-02-11.