Organization
FAMILY PRACTICE ASSOCIATES OF RIVERVIEW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN M. H AUGUSTIN MD (PRESIDENT)
(813) 236-4100
Entity
Organization
Contact information
Practice address
11347 BIG BEND RD, RIVERVIEW, FL 33569-7183
(813) 236-4100
(813) 234-4800
Mailing address
11347 BIG BEND RD, RIVERVIEW, FL 33569-5835
(813) 236-4100
(813) 234-4800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME90823
FL
Other
Enumeration date
05/24/2007
Last updated
03/28/2008
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