Active NPI
Southwest Florida Rheumatology LLC
- Rheumatology Physician
- Riverview, FL
National Provider Identifier
1871645119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- ME 96110
- Legal business name
- SOUTHWEST FLORIDA RHEUMATOLOGY LLC
- Practice address
- 11954 Boyette Rd
Riverview, FL 33569-5601 - Phone
- (813) 672-2243
- Fax
- (813) 672-2245
- NPI assigned
- Jan 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shanmugapriya Reddy
- Title
- Owner
- Phone
- (813) 672-2243
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | ME 96110 | FL | Primary |
| Non-Pharmacy Dispensing Site | 332900000X |
Addresses
Primary practice location
11954 Boyette Rd
Riverview, FL 33569-5601
Mailing address
11954 Boyette Rd
Riverview, FL 33569-5601
Phone (813) 672-2243
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
11954 Boyette Rd
Riverview, FL 33569
Phone (813) 672-2243
3909 Galen Ct
Ste 102
Sun City Ctr, FL 33573
Phone (813) 634-5502
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Rheumatology Physician
- Riverview, FL
- NPI 1710039045
-
- Nurse Practitioner
- Riverview, FL
- NPI 1467107284
-
- Family Nurse Practitioner
- Riverview, FL
- NPI 1841431277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777939200000",
"number": "1871645119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11954 BOYETTE RD",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335695601",
"telephone_number": "813-672-2243",
"fax_number": "813-672-2245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11954 BOYETTE RD",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335695601",
"telephone_number": "813-672-2243",
"fax_number": "813-672-2245"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHWEST FLORIDA RHEUMATOLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-17",
"last_updated": "2026-05-05",
"certification_date": "2026-05-05",
"status": "A",
"authorized_official_last_name": "REDDY",
"authorized_official_first_name": "SHANMUGAPRIYA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "813-672-2243"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": "FL",
"license": "ME 96110",
"primary": true
},
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.