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

Riviera Plaza Medical Office LLC

Organization Primary Care Clinic/Center · NPI 1013338144

Riviera Plaza Medical Office LLC is a Primary Care Clinic/Center in Holly Hill, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
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

1702 Ridgewood Ave Ste I
Holly Hill, FL 32117-5416
Phone: (386) 677-5415
Fax: (386) 677-1475
Show map & directions

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

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence ME47765 (FL)

Record details

NPI number1013338144
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gloria Mikula — Medical Director · (386) 677-5415
NPI enumeratedDecember 16, 2013
Last updated in NPPESApril 23, 2014
Mailing address208 N Halifax Ave, Suite1, Daytona Beach, FL 32118-4159

Other providers in Holly Hill