Organization
FAMILY MEDICAL EXPRESS AND RIVERVIEW PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YVONNE CLARKE ARNP (PRES)
(813) 438-8947
Entity
Organization
Contact information
Practice address
107 W ROBERTSON ST, BRANDON, FL 33511-5111
(813) 438-8947
(813) 438-8940
Mailing address
107 W ROBERTSON ST, BRANDON, FL 33511-5111
(813) 438-8947
(813) 438-8940
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
07/29/2013
Last updated
07/29/2013
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