Organization
RIVERSIDE MEDICAL CENTER, PA
Active
Other names
Riverside Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANET E MILEY MD (MEDICAL DIRECTOR)
(321) 264-2345
Entity
Organization
Contact information
Practice address
863 N COCOA BLVD, COCOA, FL 32922-7510
(321) 264-2345
(321) 735-8882
Mailing address
3206 S HOPKINS AVE, SUITE 87, TITUSVILLE, FL 32780-5667
(321) 264-2345
(321) 735-8882
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
207RC0200X
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03280
BCBS INSURANCE
FL
01
—
7276274
AETNA INSURANCE
FL
01
—
7883229001
CIGNA INSURANCE
FL
Enumeration date
11/07/2006
Last updated
08/03/2017
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