Riverside Family Health Pl
LBN: Stephane Naoumoff Md
Riverside Family Health Pl is an health care organization with primary practice located at 1395 N Courtenay Pkwy Ste 100 , Merritt Island FL 32953-4474. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Stephane Naoumoff Md can be contacted via phone (321) 453-5252, or through Naoumoff, Kimberly via phone (321) 453-5252.
Contact Information
Primary practice address
1395 N Courtenay Pkwy Ste 100
Merritt Island FL 32953-4474
Phone: (321) 453-5252
Fax: (321) 453-5152
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 2083P0011X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1477568186 |
|---|---|
| LBN Legal business name | Stephane Naoumoff Md |
| DBA Doing business as | Riverside Family Health Pl |
| Authorized official | Naoumoff, Kimberly |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 30th, 2006 |
| Last updated | Jan 30th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477568186 | NPPES |
| Florida | MEDICAID | 113538600 |
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