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Organization
RIVERVIEW MEDICAL, INC
Active
Organization
RIVERVIEW MEDICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN JOSEPH MINAFRI (PRESIDENT)
(813) 677-2700
Entity
Organization
Contact information
Practice address
10732 KETCHUM VALLEY DR, RIVERVIEW, FL 33579-7185
(813) 677-2700
(813) 677-6355
Mailing address
10732 KETCHUM VALLEY DR, RIVERVIEW, FL 33579-7185
(813) 677-2700
(813) 677-6355
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME54579
FL
363AM0700X
Medical Physician Assistant
PA91008766
FL
Other
Enumeration date
08/04/2015
Last updated
05/24/2016
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