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Organization
FAMILY MEDICAL EXPRESS AND RIVERVIEW PEDIATRICS
Active
Organization
FAMILY MEDICAL EXPRESS AND RIVERVIEW PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YVONNE CLARKE ARNP (PRES)
(813) 438-8947
Entity
Organization
Contact information
Practice address
107 W ROBERTSON ST, BRANDON, FL 33511-5111
(813) 438-8947
(813) 438-8940
Mailing address
107 W ROBERTSON ST, BRANDON, FL 33511-5111
(813) 438-8947
(813) 438-8940
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
Other
Enumeration date
07/29/2013
Last updated
07/29/2013
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