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Organization
RIVERAS HEALTH & FARM LLC
Active
Organization
RIVERAS HEALTH & FARM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAGOBERTO RIVERA (OWNER)
(813) 403-2601
Entity
Organization
Contact information
Practice address
16208 SEMINOLE BLVD, BROOKSVILLE, FL 34601-4324
(813) 403-2601
Mailing address
10236 N VALLE DR, TAMPA, FL 33612-6571
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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