MEDICARE: RIVERLAND MEDICAL CENTERS, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1300X	Multi-Specialty Clinic/Center		FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396883807
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIVERLAND MEDICAL CENTERS, INC

Provider Business Mailing Address
First Line	:	2774 DAVIE BLVD
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33312-2927
Country	:	US
Telephone Number	:	954-791-5184
Fax Number	:	954-791-3458

Provider Business Practice Location Address
First Line	:	2774 DAVIE BLVD
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33312-2927
Country	:	US
Telephone Number	:	954-791-5184
Fax Number	:	954-791-3458

Authorized Official
Title or Position	:	OWNER
Name	:	CAROLINA G LUNA
Credential	:
Telephone Number	:	954-612-0293

Provider Enumeration Date	:	02/05/2007
Last Update Date	:	10/02/2024

Similar Medicare Providers

1144095175 — SAMANTHA AMAYA PA
Practice Location Address:

2774 DAVIE BLVD
FORT LAUDERDALE, FL
33312-2927

Practice Phone: 954-791-5184
Practice Fax:

1134308109 — MR. PREM K GUPTA MD
Practice Location Address:

4709 FT HAMILTON PARKWAY
BROOKLYN, NY
11219-2927

Practice Phone: 718-633-4244
Practice Fax: 718-437-1556

1205613890 — STEFANIE MARIE SICRE APRN, PMHNP-BC
Practice Location Address:

3107 STIRLING RD
FT LAUDERDALE, FL
33312-6565

Practice Phone: 561-402-3971
Practice Fax:

1760136931 — DIMEY ABELEDO
Practice Location Address:

3940 W BROWARD BLVD APT 101
FT LAUDERDALE, FL
33312-1071

Practice Phone: 561-350-6686
Practice Fax:

1699431155 — OLGA STEPHANIE ROMAN
Practice Location Address:

3346 GRIFFIN RD
FT LAUDERDALE, FL
33312-5519

Practice Phone: 954-361-8239
Practice Fax:

1497606149 — HENDERSON BEHAVIORAL HEALTH
Practice Location Address:

330 SW 27TH AVE
FT LAUDERDALE, FL
33312-2051

Practice Phone: 954-486-4005
Practice Fax: 954-497-3857

Directions to “RIVERLAND MEDICAL CENTERS, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.