# FAMILY PRACTICE ASSOCIATES OF RIVERVIEW LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821209958
- **Authorized official:** JEAN M. H AUGUSTIN MD (PRESIDENT)
- **Authorized official phone:** (813) 236-4100

## Contact information

- **Practice address:** 11347 BIG BEND RD, RIVERVIEW, FL 33569-7183
- **Practice address phone:** (813) 236-4100
- **Practice address fax:** (813) 234-4800
- **Mailing address:** 11347 BIG BEND RD, RIVERVIEW, FL 33569-5835
- **Mailing address phone:** (813) 236-4100
- **Mailing address fax:** (813) 234-4800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | ME90823 | FL | Yes |

## Other

- **Enumeration date:** 05/24/2007
- **Last updated:** 03/28/2008