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Riverside Medical Center, Pa
Specialist in Cocoa, Florida
NPI 1093884439

Riverside Medical Center, Pa is a Specialist based in Titusville, FL. Riverside Medical Center, Pa practices in Cocoa, FL. The NPI Number for Riverside Medical Center, Pa is 1093884439 and holds a License No. 207RC0200X (Florida).

The current practice location address for Riverside Medical Center, Pa is 863 N Cocoa Blvd, Cocoa, FL and can be reached out via phone at 321-264-2345 and via fax at 321-735-8882.

Location: 863 N Cocoa Blvd, Cocoa, FL, 32780-5667
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093884439
Provider Name
Riverside Medical Center, Pa
Credential
Provider Entity Type
Organization
Address
863 N Cocoa Blvd, Cocoa, FL, 32780-5667
Phone Number
321-264-2345
Fax Number
321-735-8882
Provider Enumeration Date
11/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03280 01 FL BCBS INSURANCE
7883229001 01 FL CIGNA INSURANCE
7276274 01 FL AETNA INSURANCE
institution
Provider Business Practice Location Address Details
Address
863 N Cocoa Blvd
City
Cocoa
State
Florida
Zip
32922-7510
Phone Number
321-264-2345
Fax Number
321-735-8882
person
Provider Business Mailing Address Details
Address
863 N Cocoa Blvd
City
Cocoa
State
Florida
Zip
32922-7510
Phone Number
321-264-2345
Fax Number
321-735-8882
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
207RC0200X (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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