THREE RIVERS MEDICAL INC. NPI 1710049671

NPI Information

  • NPI: 1710049671
  • Provider Name: THREE RIVERS MEDICAL INC.
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 208 SUWANNEE AVE NW
    BRANFORD, FL
    ZIP 32008
  • Phone: (386) 935-1607

Map and Directions

Get Directions

NPI Details

THREE RIVERS MEDICAL INC. is a family nurse practitioner in Branford, FL. THREE RIVERS MEDICAL INC. NPI is 1710049671. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

208 SUWANNEE AVE NW
BRANFORD, FL
ZIP 32008-265
Phone: (386) 935-1607
Fax: (386) 935-1667

The provider's authorized official is Peggy L Maloney .
The authorized official title is Practice Manager and has the following contact phone number (386) 935-1607.

The enumeration date for this NPI number is 12/15/2006 and was last updated on 2/4/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily2934442FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1303822000MEDICAIDFLORIDA
2E2683WMEDICARE ID-TYPE UNSPECIFIEDFLORIDAPART B GROUP MEMBER
3AA485MEDICARE ID-TYPE UNSPECIFIEDFLORIDAPART B GROUP
4S82533MEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI