RIVERSIDE FAMILY HEALTH PL – Family Medicine Physician, NPI 1477568186

RIVERSIDE FAMILY HEALTH PL is a healthcare provider. based in Merritt island, Florida. specializing in Family Medicine Physician. The organization holds a License No. 1489102 (FL). The NPI Number for RIVERSIDE FAMILY HEALTH PL is 1477568186

Main info

Organization
Name
RIVERSIDE FAMILY HEALTH PL
NPI
1477568186
Phone
(321) 453-5252
Address
1395 N COURTENAY PKWY STE 100
Authorized Official
KIMBERLY NAOUMOFF AUTHORIZED OFFICIAL PRACTICE MANAGR
Enumeration Date
30 July 2006
Last Update Date
17 February 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness90
Years active:19State licenses:1Digital endpoints

Provider Addresses for RIVERSIDE FAMILY HEALTH PL

  • 1395 N COURTENAY PKWY STE 100

    MERRITT ISLAND, FL 329534474

    Phone: (321) 453-5252

    Fax: (321) 453-5152

    Type: Mailing

  • 1395, North Courtenay Parkway, Merritt Island, Brevard County, Florida, 32953, United States

    SUITE 100

    MERRITT ISLAND, FL 329534400

    Phone: (321) 453-5252

    Fax: (321) 453-5152

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-01-10

PECOS data refreshed: 2026-05-27

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32953)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for RIVERSIDE FAMILY HEALTH PL?
RIVERSIDE FAMILY HEALTH PL — NPI 1477568186 — is the standard way to identify this listing.
Is RIVERSIDE FAMILY HEALTH PL listed as active for patients and plans?
The listing shows RIVERSIDE FAMILY HEALTH PL as active in the NPI system.
What taxonomy line describes RIVERSIDE FAMILY HEALTH PL?
For research purposes, treat RIVERSIDE FAMILY HEALTH PL as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for RIVERSIDE FAMILY HEALTH PL?
RIVERSIDE FAMILY HEALTH PL's geographic hint is Merritt Island, Florida in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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