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Organization
HOME CARE CLINICIANS
Active
Organization
HOME CARE CLINICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY R RIVERA JR. PHD, ARNP (PRESIDENT AND CEO)
(813) 957-0118
Entity
Organization
Contact information
Practice address
5135 US HIGHWAY 19, NEW PORT RICHEY, FL 34652-3966
(813) 957-0118
Mailing address
5135 US HIGHWAY 19, NEW PORT RICHEY, FL 34652-3966
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9177520
FL
Other
Enumeration date
12/28/2015
Last updated
12/28/2015
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