OrganizationActive
Riverside Family Practice PA
NPI 1649233545 · Clinic/Center · Fort Myers, FL
Provider details
- NPI number
- 1649233545
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Peter Lautenbach, Owner(239) 694-7887
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
14651 Palm Beach Blvd
Fort Myers, FL 33905-2331
Phone: (239) 694-7887
Fax: (239) 694-8941
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 51589
Fort Myers, FL 33994-1589
Registry dates
- Enumerated
- 2006-04-11
- Last updated
- 2008-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.