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NPI Code Detail

MEDICARE: NORTH RIVER FAMILY HEALTH CENTER PA

MEDICARE: NORTH RIVER FAMILY HEALTH CENTER PA
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
1207Q00000XFamily Medicine PhysicianFL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
268130OTHERFLAETNA
377066OTHERFLBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1497753776
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH RIVER FAMILY HEALTH CENTER PA
Provider Business Mailing Address
First Line : 606 4TH AVE W
Second Line :
City : PALMETTO
State : FL
Zip : 34221-5226
Country : US
Telephone Number : 941-722-7785
Fax Number : 941-729-5267
Provider Business Practice Location Address
First Line : 606 4TH AVE W
Second Line :
City : PALMETTO
State : FL
Zip : 34221-5226
Country : US
Telephone Number : 941-722-7785
Fax Number : 941-729-5267
Authorized Official
Title or Position : PRESIDENT
Name : DR. RAYMOND L RAITZ
Credential : M.D.
Telephone Number : 941-722-7785
Provider Enumeration Date : 07/12/2005
Last Update Date : 07/21/2022

Similar Medicare Providers

1194722983 — DR. JAMES A BRILES M.D.
Practice Location Address:
606 4TH AVE W
PALMETTO, FL
34221-5226
Practice Phone: 941-722-7785
Practice Fax: 941-729-5267
1265430953 — DR. DAVID J KRULL M.D.
Practice Location Address:
606 4TH AVE W
PALMETTO, FL
34221-5226
Practice Phone: 941-722-7785
Practice Fax: 941-729-5267
1316962665 — COURTNEY MCLAUGHLIN P.A.
Practice Location Address:
606 4TH AVE W
PALMETTO, FL
34221-5226
Practice Phone: 941-722-7785
Practice Fax:
1154421717 — DR. THOMAS A KEITH M.D.
Practice Location Address:
606 4TH AVE W
PALMETTO, FL
34221-5226
Practice Phone: 941-722-7785
Practice Fax: 941-729-5267
1174812564 — DR. ANGEL ENRIQUE LLANIO D.O.
Practice Location Address:
606 4TH AVE W
PALMETTO, FL
34221-5226
Practice Phone: 941-722-7785
Practice Fax: 941-729-5267
1902193782 — DR. RYAN MICHAEL ZALESKI D.O.
Practice Location Address:
606 4TH AVE W
PALMETTO, FL
34221-5226
Practice Phone: 941-722-7785
Practice Fax: 941-729-5267

Directions to “NORTH RIVER FAMILY HEALTH CENTER PA ” Practice Location

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