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Contact Information

RIVERVIEW KIDCARE
10420 US HIGHWAY 301 S
RIVERVIEW, FL33578-5806
 Phone: 813-677-7989
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for RIVERVIEW KIDCARE

NPI Number 1770853665
LBN Legal business name RIVERVIEW KIDCARE
Authorized official PATRICIA HOEPNER - (OWNER/MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/09/2012
Last updated 01/13/2012 - About 14 years ago
Identifiers
FL License # 71781
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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