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

Riverside Family Practice PA

Organization Clinic/Center · NPI 1649233545

Riverside Family Practice PA is a Clinic/Center in Fort Myers, Florida. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14651 Palm Beach Blvd
Fort Myers, FL 33905-2331
Phone: (239) 694-7887
Fax: (239) 694-8941
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1649233545
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Lautenbach — Owner · (239) 694-7887
NPI enumeratedApril 11, 2006
Last updated in NPPESFebruary 11, 2008
Mailing addressPo Box 51589, Fort Myers, FL 33994-1589

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