Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
RIVERSIDE GLADES MEDICAL CENTER
Active
Organization
RIVERSIDE GLADES MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DONALD GEAKE JR. D.O (OWNER)
(863) 946-1000
Entity
Organization
Contact information
Practice address
51 AVENUE J SW, -MAIL NOT DELIVERED TO THIS RURAL ADDRESS, MOORE HAVEN, FL 33471-1332
(863) 946-1000
(863) 946-1110
Mailing address
PO BOX 1332, 51 AVE J, MOORE HAVEN, FL 33471-1332
(863) 946-1000
(863) 946-1110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS7165
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS7165
MEDICAL LICENSE
FL
Enumeration date
02/21/2007
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers