Healthcare Provider Details
I. General information
NPI: 1033036892
Provider Name (Legal Business Name): PATIENT CHOICE CARE ALLIANCE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1503 BUENOS AIRES BLVD STE 110
THE VILLAGES FL
32159-6825
US
IV. Provider business mailing address
1503 BUENOS AIRES BLVD STE 110
THE VILLAGES FL
32159-6825
US
V. Phone/Fax
- Phone: 352-662-9450
- Fax: 352-730-9955
- Phone: 352-662-9450
- Fax: 352-730-9955
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
STEVEN
RIVERS
Title or Position: OWNER, DIRECTOR
Credential: MD
Phone: 352-662-9450