Individual
MR. ANDREW RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
520 S FLORIDA AVE, LAKELAND, FL 33801-5229
(863) 268-2608
Mailing address
3647 LAZY LAKE DR S, LAKELAND, FL 33801-6470
(305) 709-9915
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
225200000X
FL
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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