RIVERSIDE FAMILY PRACTICE PA
NPI 1649233545
Clinic/Center in Fort Myers, FL

Active since April 11, 2006
14651 PALM BEACH BLVD, FORT MYERS, FL 33905(239) 694-7887(239) 694-8941 Get Directions Write a Review

NPPES record last updated: February 11, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Riverside Family Practice Pa NPPES

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

RIVERSIDE FAMILY PRACTICE PA (NPI 1649233545) is a healthcare organization registered as a clinic/center in Fort Myers, Florida and active in the NPI registry since April 2006. The organization lists Peter Lautenbach, Owner, as its authorized official.

NPPES Registry Identity

NPI1649233545
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameRIVERSIDE FAMILY PRACTICE PA
Location Address14651 PALM BEACH BLVDFort Myers, FL 33905-2331
Mailing AddressPo Box 51589Fort Myers, FL 33994-1589 · (239) 694-7887 · Fax (239) 694-8941
Fax(239) 694-8941
Organization SubpartNo
Authorized OfficialPeter LautenbachOwner · (239) 694-7887
Enumeration DateApril 11, 2006
Last NPPES UpdateFebruary 11, 2008
NPI 1649233545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
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).
14651 PALM BEACH BLVD, Fort Myers, FL 33905

Other Providers at the Same Location NPPES 8

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

Dentist
14651 PALM BEACH BLVD, SUITE 101
FORT MYERS, FL 33905
Family Medicine
14651 PALM BEACH BLVD, SUITE 100
FORT MYERS, FL 33905
Dentist
14651 PALM BEACH BLVD, SUITE 101
FORT MYERS, FL 33905
Speech-Language Pathologist
14651 PALM BEACH BLVD, SUITE 103
FORT MYERS, FL 33905
Chiropractor
14651 PALM BEACH BLVD, SUITE 106A
FORT MYERS, FL 33905
Durable Medical Equipment & Medical Supplies
14651 PALM BEACH BLVD, SUITE 100
FORT MYERS, FL 33905
Pharmacy (Community/Retail Pharmacy)
14651 PALM BEACH BLVD
FORT MYERS, FL 33905
Dentist (General Practice)
14651 PALM BEACH BLVD, SUITE 101
FORT MYERS, FL 33905

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 Practice PA's NPI number?

The NPI number for Riverside Family Practice PA is 1649233545. It was assigned to this organization in the NPPES registry on April 11, 2006.

Where is Riverside Family Practice PA located?

Riverside Family Practice PA is located at 14651 Palm Beach Blvd, Fort Myers, FL 33905. The listed phone number is (239) 694-7887.

What is Riverside Family Practice PA's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Riverside Family Practice PA was last updated on February 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.