Organization
RIVERLAND MEDICAL CENTERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINA G LUNA (OWNER)
(954) 612-0293
Entity
Organization
Contact information
Practice address
2774 DAVIE BLVD, FT LAUDERDALE, FL 33312-2927
(954) 791-5184
(954) 791-3458
Mailing address
2774 DAVIE BLVD, FT LAUDERDALE, FL 33312-2927
(954) 791-5184
(954) 791-3458
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
377055900
—
FL
Enumeration date
02/05/2007
Last updated
10/02/2024
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