Organization
PEDIATRICS AT RIVER'S EDGE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALDO C DONDERO MD (PRESIDENT)
(727) 844-3551
Entity
Organization
Contact information
Practice address
9948 GROVE DR, NEW PORT RICHEY, FL 34654-3403
(727) 844-3551
(727) 847-0427
Mailing address
9948 GROVE DR, NEW PORT RICHEY, FL 34654-3403
(727) 844-3551
(727) 847-0427
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
363LP0200X
Pediatric Nurse Practitioner
1881067460
FL
363LP0200X
Pediatric Nurse Practitioner
3078370
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268389000
—
FL
Enumeration date
09/09/2014
Last updated
12/30/2024
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