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Organization
R & J FAMILY MEDICINE LLC
Active
Organization
R & J FAMILY MEDICINE LLC
Active
Other names
Sunshine Family Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROXENE RILES NP (OWNER)
(904) 429-4188
Entity
Organization
Contact information
Practice address
3955 58TH ST N, ST PETERSBURG, FL 33709-6003
(727) 347-2557
(904) 429-4188
Mailing address
3955 58TH ST N, ST PETERSBURG, FL 33709-6003
(727) 347-2557
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
FL HF MEDICARE
FL
05
—
PENDING
—
FL
Enumeration date
09/25/2019
Last updated
11/13/2023
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