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Organization
RIVERSIDE FAMILY HEALTH
Active
Organization
RIVERSIDE FAMILY HEALTH
Active
Other names
RIVERSIDE FAMILY HEALTH PL
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY NAOUMOFF (AUTHORIZED OFFICIAL PRACTICE MANAGR)
(321) 453-5252
Entity
Organization
Contact information
Practice address
1395 N COURTENAY PKWY STE 100, MERRITT ISLAND, FL 32953-4474
(321) 453-5252
(321) 453-5152
Mailing address
1395 N COURTENAY PKWY STE 100, MERRITT ISLAND, FL 32953-4474
(321) 453-5252
(321) 453-5152
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363AM0700X
Medical Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113538600
—
FL
Enumeration date
07/30/2006
Last updated
02/17/2026
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