MEDICARE: RIVER CITY MEDICAL ASSOCIATES 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	111N00000X	Chiropractor	CH8351	FL
2	111N00000X	Chiropractor	CH9130	FL
3	111N00000X	Chiropractor	CH8829	FL
4	111N00000X	Chiropractor	CH10260	FL
5	111N00000X	Chiropractor	CH10561	FL
6	207R00000X	Internal Medicine Physician	ME121788	FL
7	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	ME80212	FL
8	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	ME101999	FL
9	208VP0000X	Pain Medicine Physician	ME103267	FL
10	208VP0014X	Interventional Pain Medicine Physician	ME103267	FL
11	261Q00000X	Clinic/Center
12	261QP2000X	Physical Therapy Clinic/Center		FL
13	261QP2300X	Primary Care Clinic/Center	ME121788	FL
14	261QP3300X	Pain Clinic/Center
15	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
2	33125	OTHER	FL	BLUE CROSS BLUE SHIELD FL
3	DO0093	OTHER	FL	RAILROAD

General Provider Information

NPI Number	:	1649322215
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIVER CITY MEDICAL ASSOCIATES INC

Provider Business Mailing Address
First Line	:	6947 MERRILL RD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32277-2684
Country	:	US
Telephone Number	:	904-743-2222
Fax Number	:	904-743-3087

Provider Business Practice Location Address
First Line	:	6947 MERRILL RD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32277-2684
Country	:	US
Telephone Number	:	904-743-2222
Fax Number	:	904-743-3087

Authorized Official
Title or Position	:	CLINIC DIRECTOR
Name	:	DR. VIPUL RASIKLAL PATEL
Credential	:	DC
Telephone Number	:	904-743-2222

Provider Enumeration Date	:	01/17/2007
Last Update Date	:	01/13/2017

Similar Medicare Providers

1073582151 — DR. VIPUL R PATEL DC
Practice Location Address:

6947 MERRILL RD
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32277-2684

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1720406267 — RIVER CITY MEDICAL ASSOCIATES, INC
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1013378017 — JOSE MARCOS BRUNET RIVERA
Practice Location Address:

7920 MERRILL ROAD , UNIT 1314
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Directions to “RIVER CITY MEDICAL ASSOCIATES INC ” Practice Location

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