Dr. Peter A. Rives MD
Family Medicine Physician in Orange Park, FL(View on Map)
Full Name
Dr. Peter A. Rives MD
NPI Number
1609828110
NPI Type
Individual Provider
Gender
Male
Enumeration Date
05/16/2006
Specialties
(Taxonomies)Code
207Q00000X
207P00000X
208M00000X
Primary Taxonomy
Yes
No
No
Licenses
State
Florida
Georgia
Kentucky
License Number
ME124964
061646
33705
Contact
Information
Purpose
Mailing
Location
Address
2021 PROFESSIONAL CENTER DRIVE
2021 PROFESSIONAL CENTER DRIVE
City
Orange Park
Orange Park
State
FL
FL
Postal Code
32073-5174
32073-5174
Country
US
US
Telephone Number
(912) 350-8404
(912) 350-8404
Identifiers
Identifier
582162071-014
01230056
479466
631688987A
G61646
P00649638
Identifier State
Unknown
Unknown
GA
GA
SC
GA
Identifier Issuer
HMHS/TRICARE SOUTH
AMERIGROUP
WELLCARE
Unknown
Unknown
RR MEDICARE
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/31/2015