Rivers Edge Boutique Medicine Llc

LBN: Rivers Edge Boutique Medicine Llc
Rivers Edge Boutique Medicine Llc is an health care organization with primary practice located at 5647 Main St Ste 1&2 , New Port Richey FL 34652-2641. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as the primary health care specialty. Rivers Edge Boutique Medicine Llc can be contacted via phone (727) 831-8376, or through Greene, Tracy via phone (727) 342-4955.

Contact Information

Primary practice address
5647 Main St Ste 1&2 New Port Richey FL 34652-2641
Phone: (727) 831-8376
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Greene, Tracy NP-C
Phone: (727) 342-4955

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X

Profile Details

NPI number 1033970454
LBN Legal business name Rivers Edge Boutique Medicine Llc
DBA Doing business as
Authorized official Greene, Tracy NP-C
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2024
Last updated Jan 22nd, 2024 - about 10 months 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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