Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Riverview Family Medicine PA

Organization Family Medicine Physician · NPI 1649301466

Riverview Family Medicine PA provides Family Medicine Physician services 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 Not confirmed with CMS for 12 years — call before visiting
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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