Organization
PHYSICIANS HEALTH INC.
Active
Other names
RIVAS MEDICAL CENTERS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN RIVAS JR. (PRESIDENT)
(813) 875-5000
Entity
Organization
Contact information
Practice address
2707 N HIMES AVE, TAMPA, FL 33607-2113
(813) 875-5000
(813) 879-7211
Mailing address
2707 N HIMES AVE, TAMPA, FL 33607-2113
(813) 875-5000
(813) 879-7211
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
HCC 4752
FL
261Q00000X
Clinic/Center
HCC 4753
FL
261Q00000X
Clinic/Center
HCC 4808
FL
261Q00000X
Clinic/Center
Primary
HCC 4813
FL
Other
Enumeration date
02/23/2009
Last updated
06/09/2012
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