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

Riverview Family Medicine PA

Organization Family Medicine Physician · NPI 1649301466

Riverview Family Medicine PA is a Family Medicine Physician in Riverview, Florida. Registered with an NPI since 2007.

In the registry since
2007
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

11966 Boyette Rd
Riverview, FL 33569
Phone: (813) 672-0408
Fax: (813) 672-4748
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1649301466
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Jasko — President · (813) 672-0408
NPI enumeratedMarch 7, 2007
Last updated in NPPESMarch 7, 2014
Mailing address11966 Boyette Rd, Riverview, FL 33569-5601

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