Johnson Riverside Family Practice Llc

LBN: Johnson Riverside Family Practice Llc
Johnson Riverside Family Practice Llc is an health care organization with primary practice located at 43 Avenue J , Moore Haven FL 33471. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Johnson Riverside Family Practice Llc can be contacted via phone (863) 599-1620, or through Johnson, Jennifer Nichole via phone (863) 946-0284.

Contact Information

Primary practice address
43 Avenue J Moore Haven FL 33471
Phone: (863) 599-1620
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Jennifer Nichole Family Nurse Practitioner (FNP)
Phone: (863) 946-0284

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1295409423
LBN Legal business name Johnson Riverside Family Practice Llc
DBA Doing business as
Authorized official Johnson, Jennifer Nichole Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 2nd, 2021
Last updated Oct 11th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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