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Organization
NOVA'S INNOVATED URGENT CARE, LLC.
Active
Organization
NOVA'S INNOVATED URGENT CARE, LLC.
Active
Other names
VIVA Bloom
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERIED RIVERA LOPEZ APRN (FNP-BC)
(407) 693-2819
Entity
Organization
Contact information
Practice address
737 SOUTH SEMORAN BLVD, ORLANDO, FL 32807
(407) 693-2819
(407) 264-6936
Mailing address
4417 13TH ST, SAINT CLOUD, FL 34769-6724
(407) 693-2819
(407) 264-6936
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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