RIVERSIDE FAMILY PRACTICE PA is a clinic center in Fort Myers, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). RIVERSIDE FAMILY PRACTICE PA NPI is 1649233545. The provider is registered as an organization entity type.
The provider's business location address is:
14651 PALM BEACH BLVD
FORT MYERS, FL
ZIP 33905-331
Phone: (239) 694-7887
Fax: (239) 694-8941
The provider's authorized official is Peter Lautenbach .
The authorized official title is Owner and has the following contact phone number (239) 694-7887.
The enumeration date for this NPI number is 4/11/2006 and was last updated on 2/11/2008.