THREE RIVERS MEDICAL INC.
NPI 1710049671
Nurse Practitioner - Family in Branford, FL

Active since December 15, 2006
208 SUWANNEE AVE NW, BRANFORD, FL 32008(386) 935-1607(386) 935-1667 Get Directions Write a Review

NPPES record last updated: February 4, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Three Rivers Medical Inc. NPPES

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

THREE RIVERS MEDICAL INC. (NPI 1710049671) is a healthcare organization registered as a family in Branford, Florida and active in the NPI registry since December 2006. The organization lists Peggy L Maloney, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1710049671
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameTHREE RIVERS MEDICAL INC.
Location Address208 SUWANNEE AVE NWBranford, FL 32008-3265
Mailing Address208 Suwannee Ave NwBranford, FL 32008-3265 · (386) 935-1607 · Fax (386) 935-1667
Fax(386) 935-1667
Organization SubpartNo
Authorized OfficialPeggy L MaloneyPractice Manager · (386) 935-1607
Enumeration DateDecember 15, 2006
Last NPPES UpdateFebruary 4, 2010
NPI 1710049671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in FL · 2934442
208 SUWANNEE AVE NW, Branford, FL 32008

Other Identifiers 4

Medicaid303822000FL
Medicare ID-Type UnspecifiedE2683WFL · Part B Group Member
Medicare ID-Type UnspecifiedAA485FL · Part B Group
Medicare UPINS82533FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Family Medicine (Geriatric Medicine)
208 SUWANNEE AVE NW
BRANFORD, FL 32008
Clinic/Center (Rural Health)
208 SUWANNEE AVE NW
BRANFORD, FL 32008
Nurse Practitioner (Family)
208 SUWANNEE AVE NW
BRANFORD, FL 32008

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 Three Rivers Medical Inc.'s NPI number?

The NPI number for Three Rivers Medical Inc. is 1710049671. It was assigned to this organization in the NPPES registry on December 15, 2006.

Where is Three Rivers Medical Inc. located?

Three Rivers Medical Inc. is located at 208 Suwannee Ave NW, Branford, FL 32008. The listed phone number is (386) 935-1607.

What is Three Rivers Medical Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Three Rivers Medical Inc. was last updated on February 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.