Organization
RIVERVIEW KIDCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA HOEPNER MD (OWNER/MANAGER)
(813) 677-7989
Entity
Organization
Contact information
Practice address
10420 US HIGHWAY 301 S, RIVERVIEW, FL 33578-5806
(813) 677-7989
Mailing address
10420 US HIGHWAY 301 S, RIVERVIEW, FL 33578-5806
(813) 677-7989
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
71781
FL
Other
Enumeration date
01/09/2012
Last updated
01/13/2012
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