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RIVERSIDE FAMILY HEALTH
NPI 1477568186
Family Medicine in Merritt Island, FL

Active since July 30, 2006CLIA 10D0991348 · Waiver
1395 N COURTENAY PKWY STE 100, MERRITT ISLAND, FL 32953(321) 453-5252(321) 453-5152 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 30, 2023, Sep 13, 2021 (2 updates tracked since 2021).

About Riverside Family Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIVERSIDE FAMILY HEALTH (NPI 1477568186), doing business as Riverside Family Health Pl, is a healthcare organization registered as a family medicine in Merritt Island, Florida and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through September 17, 2027 and lists Kimberly Naoumoff, Authorized Official Practice Managr, as its authorized official.

NPPES Registry Identity

NPI1477568186
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameRIVERSIDE FAMILY HEALTH
Location Address1395 N COURTENAY PKWY STE 100Merritt Island, FL 32953-4474
Mailing Address1395 N Courtenay Pkwy Ste 100Merritt Island, FL 32953-4474 · (321) 453-5252 · Fax (321) 453-5152
Phone(321) 453-5252
Fax(321) 453-5152
Organization SubpartNo
Authorized OfficialKimberly NaoumoffAuthorized Official Practice Managr · (321) 453-5252
Enumeration DateJuly 30, 2006
Last NPPES UpdateFebruary 17, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2026
✔ NPI 1477568186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
1395 N COURTENAY PKWY STE 100, Merritt Island, FL 32953
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Other Names 1

Doing Business AsRiverside Family Health Pl

Other Identifiers 1

Medicaid113538600FL

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0991348

Riverside Family Health, Pl · Merritt Island, FL
Active · expires Sep 17, 2027
CLIA Number10D0991348
Laboratory TypePhysician Office
Certificate Effective DateSeptember 18, 2025
Certificate Expiration DateSeptember 17, 2027
Laboratory DirectorStephane Naoumoff
Laboratory Phone(321) 453-5252
Laboratory LocationRiverside Family Health, Pl1395 N Courtenay Pkwy Ste 100, Merritt Island, FL 32953
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANE M NAOUMOFF MD
Family Medicine
1395 N COURTENAY PKWY STE 100
MERRITT ISLAND, FL 32953
Brevard County (321) 453-5252
AMY SEQUEIRA
Nurse Practitioner (Family)
1395 N COURTENAY PKWY STE 100
MERRITT ISLAND, FL 32953
Brevard County (321) 453-5252

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Riverside Family Health's NPI number?

The NPI number for Riverside Family Health is 1477568186. It was assigned to this organization in the NPPES registry on July 30, 2006. The provider is doing business as Riverside Family Health Pl.

Where is Riverside Family Health located?

Riverside Family Health is located at 1395 N Courtenay Pkwy Ste 100, Merritt Island, FL 32953. The listed phone number is (321) 453-5252.

What is Riverside Family Health's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Riverside Family Health hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0991348) is associated with this NPI, valid through September 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Riverside Family Health was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.