Three Rivers Medical Inc.
Organization Active NPI Family Nurse Practitioner · Branford, FL
NPI 1710049671 · NPPES record last updated Feb 4, 2010
Key facts
- NPI
- 1710049671
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2934442 (FL)
- Legal business name
- THREE RIVERS MEDICAL INC.
- Practice address
- 208 Suwannee Ave NW
Branford, FL 32008-3265 - Phone
- (386) 935-1607
- Fax
- (386) 935-1667
- NPI assigned
- Dec 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Peggy L Maloney
- Title
- Practice Manager
- Phone
- (386) 935-1607
Member organizations 1
Practitioners 2
-
Moise W Anglade, MD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | 2934442 | FL | Yes |
Addresses
Primary practice location
208 Suwannee Ave NW
Branford, FL 32008-3265
Mailing address
208 Suwannee Ave NW
Branford, FL 32008-3265
Phone (386) 935-1607
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 303822000 | Medicaid | FL |
Other providers in Branford, FL
- Darya Smith
- Gigi Yvette Smoak
- Raymond Spears
- Caroline Stapleton
- Three Rivers Medical
- TJ Health & Wellness LLC
- Trenton Medical Center Inc
- Trenton Medical Center Inc
- Jennifer Nicole Vincent
- Sara Nicole Vincent
All providers in Branford, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.