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Organization
RIVERVIEW PEDIATRICS AND FAMILY PRACTICE, INC.
Active
Organization
RIVERVIEW PEDIATRICS AND FAMILY PRACTICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YVONNE JOAN CLARKE ARNP (PRES)
(813) 741-0019
Entity
Organization
Contact information
Practice address
10420 US HIGHWAY 301 S, RIVERVIEW, FL 33578-5806
(813) 741-0019
(813) 741-3290
Mailing address
10420 US HIGHWAY 301 S, RIVERVIEW, FL 33578-5806
(813) 741-0019
(813) 741-3290
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME25434
FL
208000000X
Pediatrics Physician
ME98642
FL
363LF0000X
Family Nurse Practitioner
ARNP3184902
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263800200
—
FL
Enumeration date
11/20/2006
Last updated
05/20/2010
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