Organization
FAMILY MEDICAL CARE OF RIVERVIEW PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDDIE G. LOUDERBACK C.M.M. (OFFICE ADMINISTRATOR)
(813) 677-8418
Entity
Organization
Contact information
Practice address
7229 US HIGHWAY 301 S, RIVERVIEW, FL 33578-4346
(813) 677-8418
(813) 677-8419
Mailing address
7229 US HIGHWAY 301 S, RIVERVIEW, FL 33578-4346
(813) 677-8418
(813) 677-8419
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263029000
—
FL
Enumeration date
10/03/2006
Last updated
01/05/2010
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