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Organization
RIVERS EDGE DPC INC
Active
Organization
RIVERS EDGE DPC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE FESTA (OWNER)
(772) 202-2265
Entity
Organization
Contact information
Practice address
14060 US HIGHWAY 1 BAY STREET, SEBASTIAN, FL 32958-3297
(772) 202-2265
(772) 361-6362
Mailing address
14060 US HIGHWAY 1 BAY STREET, SEBASTIAN, FL 32958-3297
(772) 202-2265
(772) 361-6362
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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