Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rivers Edge Boutique Medicine LLC

Organization Adult Medicine Physician · NPI 1033970454

Rivers Edge Boutique Medicine LLC is an Adult Medicine Physician in New Port Richey, Florida. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

5647 Main St Ste 1&2
New Port Richey, FL 34652-2641
Phone: (727) 831-8376
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1454 Main St Ste B, Dunedin, FL 34698-6254 — (727) 831-8376

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X

Record details

NPI number1033970454
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracy Greene — Owner · (727) 342-4955
NPI enumeratedJanuary 22, 2024
Last updated in NPPESJanuary 22, 2024
Certification dateJanuary 22, 2024
Mailing address5647 Main St Ste 1&2, New Port Richey, FL 34652-2641

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