# FAMILY MEDICAL EXPRESS AND RIVERVIEW PEDIATRICS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104268341
- **Authorized official:** MRS. YVONNE CLARKE ARNP (PRES)
- **Authorized official phone:** (813) 438-8947

## Contact information

- **Practice address:** 107 W ROBERTSON ST, BRANDON, FL 33511-5111
- **Practice address phone:** (813) 438-8947
- **Practice address fax:** (813) 438-8940
- **Mailing address:** 107 W ROBERTSON ST, BRANDON, FL 33511-5111
- **Mailing address phone:** (813) 438-8947
- **Mailing address fax:** (813) 438-8940

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 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