Individual
ODALIS RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5726 OLD CHENEY HWY, ORLANDO, FL 32807-3525
(407) 900-5278
Mailing address
1109 BLUE JAY DR, DAVENPORT, FL 33837-8835
(787) 292-0892
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
BHCM.0107683-P
FL
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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